Gucci, Michael
Gucci, Michael is an individual health care provider with primary practice located at 2655 Warrenville Rd Ste 500 , Downers Grove IL 60515-5646. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gucci, Michael can be contacted via phone (855) 783-6877.Contact Information
Primary practice address
2655 Warrenville Rd Ste 500
Downers Grove IL 60515-5646
Phone: (855) 783-6877
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-118646 | Illinois |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35460 | Iowa |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-118646 | Illinois |
Profile Details
NPI number | 1063472405 |
---|---|
LBN Legal business name | Gucci, Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2006 |
Last updated | Jun 30th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063472405 | NPPES |
Illinois | Other | 036118646 | BLUE SHIELD |
Illinois | Other | P00198373 | BLUE SHIELD |
Illinois | MEDICAID | 0361186461 | BLUE SHIELD |
Illinois | MEDICAID | 1444240 | BLUE SHIELD |
Illinois | Other | 24318 | BLUE SHIELD |
Illinois | Other | 38204 | BLUE SHIELD |
Illinois | Other | P00941443 | BLUE SHIELD |
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