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Individual
MR. JOSE G TREVINO SR.
Active
Individual
MR. JOSE G TREVINO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36061677
IL
208600000X
Surgery Physician
36061677
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061677
—
IL
01
—
4722870
BCBS
IL
Enumeration date
11/21/2006
Last updated
05/15/2026
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