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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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