Individual
DR. J. GORDON MAGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 N. LAKE SHORE DR., APT. 303, CHICAGO, IL 60611
(315) 642-4296
Mailing address
680 N. LAKE SHORE DR., APT. 303, CHICAGO, IL 60611
(315) 642-4296
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036055922
ID
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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