MICHAEL MCGUIRE, MD, LLC (NPI# 1083835052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083835052 |
Entity Type | Organization |
Organization Name | MICHAEL MCGUIRE, MD, LLC |
Practice Address |
9711 Skokie Blvd Suite H Skokie IL 60077-1384 |
Practice Telephone | 8476762400 |
Practice Fax Number | 8476762485 |
Mailing Telephone | 8476762400 |
Mailing Fax Number | 8476762485 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MICHAEL SHANE MCGUIRE (PRESIDENT) |
Authorized Official Telephone | 8476762400 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS BLUE SHIELD | 01622253 | 01 |
Street Address |
9711 SKOKIE BLVD SUITE H |
City | SKOKIE |
State | IL |
Zip Code | 60077-1384 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932198322 | Jennifer Centore-lober | Physician Assistant | 9711 Skokie Blvd, Skokie, IL 60077-1384 | 2005-10-18 |
1801311329 | Susan Millner Therapeutic Services LLC | Clinic/Center | 9711 Skokie Blvd, Skokie, IL 60077-1384 | 2017-08-04 |
1942757299 | First Hand Rehabilitation Inc. | Physical Therapist | 9711 Skokie Blvd, Suite F, Skokie, IL 60077-1384 | 2016-09-03 |
1629470315 | Amanda M. Schallman | Physician Assistant | 9711 Skokie Blvd, Suite J, Skokie, IL 60077-1384 | 2014-09-24 |
1255603049 | Resurrection Services | General Practice | 9711 Skokie Blvd, Suite A, Skokie, IL 60077-1384 | 2012-02-08 |
1336461987 | North Shore Physicians Group, LLC | Internal Medicine | 9711 Skokie Blvd, Suite A, Skokie, IL 60077-1384 | 2010-02-24 |
1497084420 | Revive Chiropractic & Rehabilitation Care Ltd. | Chiropractor | 9711 Skokie Blvd, Ste. #f, Skokie, IL 60077-1384 | 2009-12-22 |
1891920898 | Illinois Dermatology Institute, LLC | Dermatology | 9711 Skokie Blvd, Suite J., Skokie, IL 60077-1384 | 2009-05-19 |
1063659001 | Sara Dickie | Surgery | 9711 Skokie Blvd, Suite J, Skokie, IL 60077-1384 | 2009-01-13 |
1821240383 | Melanie S Levine | Psychologist | 9711 Skokie Blvd, Suite H, Skokie, IL 60077-1384 | 2008-10-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
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Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578766994 | Neil R Friedman Md Ltd | Urology | 4711 W Golf Road, Suite 910, Skokie, IL 60076-1247 | 2007-06-06 |
1972589232 | Advanced Urology, Ltd. | Urology | 4959 Golf Rd, Skokie, IL 60077-1537 | 2005-12-19 |
1497873863 | Sam Lipshitz | Urology | 7520 Skokie Blvd, Skokie, IL 60077-3342 | 2007-03-26 |
1164589776 | John Milner | Urology | 9669 Kenton Ave, Ste. 608, Skokie, IL 60076-1266 | 2007-01-02 |
1891851598 | Uro Center Ltd | Urology | 9669 Kenton Ave, Suite 306, Skokie, IL 60076 | 2006-12-28 |
1194802298 | Peter Rooney Ltd | Urology | 9701 Knox Ave, Suite 103, Skokie, IL 60076-1256 | 2006-11-01 |
1104933217 | Peter W Rooney | Urology | 9701 Knox Ave, Suite 103, Skokie, IL 60076-1256 | 2006-08-24 |
1568482214 | Israel Berger | Urology | 9669 Kenton Ave, Suite 306, Skokie, IL 60076-1266 | 2006-07-19 |
1427019611 | Steven E. Mutchnik | Urology | 9669 Kenton Ave, Suite 608, Skokie, IL 60076-1266 | 2006-03-29 |
1417917006 | David L. Mutchnik | Urology | 9669 Kenton Ave, Suite 608, Skokie, IL 60076-1266 | 2006-03-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.