TRINITY HEALTH PROVIDER LLC

CHICAGO, IL
NPI1932763539
Entity TypeOrganization
Authorized ContactRENATO M CUERVO
President
224-518-8124
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2019-04-29
Last Update Date2019-04-29
Business Address
TRINITY HEALTH PROVIDER LLC
4756 N LAMON AVE
CHICAGO, IL 60630-3840
Phone number: 224-518-8124
Mailing Address
TRINITY HEALTH PROVIDER LLC
7331 N LINCOLN AVE STE 15
LINCOLNWOOD, IL 60712-1766
Phone number: 847-983-8356
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