# INFECTIOUS DISEASE SPECIALISTS OF CHICAGO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194786574
- **Authorized official:** DR. GORDON M TRENHOLME M.D. (PRESIDENT)
- **Authorized official phone:** (312) 942-2061

## Contact information

- **Practice address:** 600 S PAULINA ST, SUITE 143, CHICAGO, IL 60612-3806
- **Practice address phone:** (312) 942-2061
- **Practice address fax:** (312) 942-2184
- **Mailing address:** PO BOX 239D, PARK RIDGE, IL 60068-8018
- **Mailing address phone:** (847) 732-8087
- **Mailing address fax:** (708) 395-5223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | IL | Yes |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 12/03/2007