Mark McGuire, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036081372 Issued in IL

Practice address

1425 W Lincoln Hwy
Northern Illinois University Health Services
Dekalb, IL 60115-2828

Phone

(815) 753-1311

Fax

(815) 753-9599

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Presence Healthcare Services

  • Internal Medicine Physician
  • Bolingbrook, IL
  • NPI 1043748338
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1255487229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W LINCOLN HWY",
            "address_2": "NORTHERN ILLINOIS UNIVERSITY HEALTH SERVICES",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152828",
            "telephone_number": "815-753-1311",
            "fax_number": "815-753-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W LINCOLN HWY",
            "address_2": "NORTHERN ILLINOIS UNIVERSITY HEALTH SERVICES",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152828",
            "telephone_number": "815-753-1311",
            "fax_number": "815-753-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036081372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmcguire53399@direct.luhs.org",
            "affiliation": "Y",
            "affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR IPA",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Margaret McClellan
• Craig R McCloud, CRNA
• Shannon McCullagh, RBT
• Amanda Lee McCumsey
• Myles McGhee
• Patrick McMillion
• Natalie R Meckstroth, MA, ATC
• Medicine Shoppe of Dekalb Inc
• Kristen Angela Melchiori, MSW, CADC
• Alexis Melendez

• Family Medicine Physician in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.