Provider Demographics
NPI:1699720938
Name:MCGUIRE, KENT BYFORD (MD)
Entity type:Individual
Prefix:
First Name:KENT
Middle Name:BYFORD
Last Name:MCGUIRE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29373 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1293
Mailing Address - Country:US
Mailing Address - Phone:847-390-5900
Mailing Address - Fax:
Practice Address - Street 1:1710 N. RANDALL RD
Practice Address - Street 2:SUITE 250
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123
Practice Address - Country:US
Practice Address - Phone:847-888-1914
Practice Address - Fax:847-888-1925
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-064578207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036064578Medicaid
ILC43953Medicare UPIN
IL214170Medicare PIN
IL036064578Medicaid