THADDEUS TREJO

CHICAGO, IL
NPI1255870796
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  206.015167)
Enumeration Date2017-02-16
Last Update Date2017-02-16
Business Address
-- THADDEUS TREJO
4211 N PULASKI RD
CHICAGO, IL 60641-2331
Phone number: 312-315-6103
Mailing Address
-- THADDEUS TREJO
4211 NORTH PULASKI
CHICAGO, IL 60641
Phone number:
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