Trevino, Gregory
Trevino, Gregory is an individual health care provider with primary practice located at 608 S Washington St Ste 201 , Naperville IL 60540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Trevino, Gregory can be contacted via phone (630) 717-2630.Contact Information
Primary practice address
608 S Washington St Ste 201
Naperville IL 60540
Phone: (630) 717-2630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036099890 | Illinois |
Profile Details
| NPI number | 1023078631 |
|---|---|
| LBN Legal business name | Trevino, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jun 15th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023078631 | NPPES |
| Illinois | MEDICAID | 036099890 |
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