Provider Demographics
NPI:1346012408
Name:MCGUIRE, KERI ANN (JD)
Entity Type:Individual
Prefix:MS
First Name:KERI
Middle Name:ANN
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 N HERMITAGE AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-5067
Mailing Address - Country:US
Mailing Address - Phone:773-230-5619
Mailing Address - Fax:
Practice Address - Street 1:10035 GRAND AVE FL 3
Practice Address - Street 2:
Practice Address - City:FRANKLIN PARK
Practice Address - State:IL
Practice Address - Zip Code:60131-2500
Practice Address - Country:US
Practice Address - Phone:847-260-8860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker