Colleen McGuire MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036133815 Issued in IL

Legal business name

COLLEEN MCGUIRE MD LLC

Practice address

60 Revere Dr
Northbrook, IL 60062-1563

Phone

(224) 306-1879

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Colleen McGuire, MD

Title

Owner / President

Phone

(224) 306-1879

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1427503168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 REVERE DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 REVERE DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621563",
            "telephone_number": "224-306-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN MCGUIRE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "224-306-1879",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036133815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Cohen, LPC
• Eliana Mara Cohn, LSW
• Christine Cole, RBT-18-68569
• Roxy Cole
• Patricia Coleman, RDN, CSSD
• Colleen McGuire MD LLC
• Karissa Shay Collier, RBT-18-66776
• Deborah Collins
• Tasia Collins
• Claire Colt, LCSW

• Psychiatry Physician in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.