GLEN DERRICK TRAMMELL

CHICAGO, IL
NPI1013130152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-000875)
Enumeration Date2007-04-10
Last Update Date2021-04-30
Business Address
Mr. GLEN DERRICK TRAMMELL PA-C
1901 W HARRISON ST
CHICAGO, IL 60612-3714
Phone number: 773-869-7488
Mailing Address
Mr. GLEN DERRICK TRAMMELL PA-C
3248 186TH ST
HOMEWOOD, IL 60430-2798
Phone number: 773-869-7488
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