Michael A. Guthrie
Oral and Maxillofacial Pathology
1556 S Michigan Ave 110
Chicago
, Illinois 60605-2813
Michael A. Guthrie
Oral and Maxillofacial Pathology
1556 S Michigan Ave 110
Chicago
, Illinois 60605-2813
(312) 692-0200
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Michael A. Guthrie
- 1556 S Michigan Ave 110
- Chicago, IL
- Zip : 60605-2813
- Phone : (312) 692-0200
Second Address
- Michael A. Guthrie
- 1556 S Michigan Ave 110
- Chicago, IL
- Zip : 60605-2813
- Phone : (312) 692-0200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 019-024222 | IL |
National Provider Identifier
| NPI | 1063504819 |
|---|---|
| Provider Name | Michael A. Guthrie |
| First Address | Chicago, IL 60605-2813 |
| Second Address | Chicago, IL 60605-2813 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2006 |
| Last Update Date | 29/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U67339 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.