Provider Demographics
NPI:1639501778
Name:MCGUIRE, BARRY B (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:B
Last Name:MCGUIRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 BLACKTHORN RD
Mailing Address - Street 2:WINNETKA
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-2006
Mailing Address - Country:US
Mailing Address - Phone:312-543-0512
Mailing Address - Fax:
Practice Address - Street 1:251 EAST HURON
Practice Address - Street 2:NORTHWESTERN MEMORIAL HOSPITAL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-503-3238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125063813282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital