Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | 036086010 | IL |
Y | 207RC0200X | Critical Care Medicine | 036086010 | IL |
N | 207RP1001X | Pulmonary Disease | 036086010 | IL |
N | 207RS0012X | Sleep Medicine | 036086010 | IL |
N | 2084N0400X | Neurologist | 036086010 | IL |
NPI | 1821041559 |
---|---|
Provider Name | Dr. Guy M Dugan |
First Address | Elk Grove Village, IL 60007-3311 |
Second Address | Elk Grove Village, IL 60007-3311 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 05/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036086010 | (05) | IL |
1617373 | BCBS OF IL (01) | IL |
E55267 | (02) |