Palmer, Trish L.

Palmer, Trish L. is an individual health care provider with primary practice located at 1611 W Harrison Suite 400, Chicago IL 60612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Palmer, Trish L. can be contacted via phone (312) 243-4244.

Contact Information

Primary practice address
1611 W Harrison Suite 400 Chicago IL 60612
Phone: (312) 243-4244
Fax: (312) 942-1517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036096275 Illinois

Profile Details

NPI number 1750360434
LBN Legal business name Palmer, Trish L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Dec 7th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750360434 NPPES
Illinois Other 5647658 AETNA ID#
Illinois MEDICAID 036096275 1 AETNA ID#
Illinois Other 207067 AETNA ID#
Illinois Other 207073 AETNA ID#
Illinois Other P00295720 AETNA ID#
Illinois Other 1633878 AETNA ID#
Illinois Other DA4902 AETNA ID#

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