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Organization
TRAPP MEDICAL ASSOCIATES, S.C.
Active
Organization
TRAPP MEDICAL ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY TODD TRAPP MD (PRESIDENT)
(815) 935-1100
Entity
Organization
Contact information
Practice address
70 MEADOWVIEW CTR, SUITE 303, KANKAKEE, IL 60901-2047
(815) 929-9395
(815) 929-9396
Mailing address
70 MEADOWVIEW CTR, SUITE 303, KANKAKEE, IL 60901-2047
(815) 935-1100
(815) 937-5966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036095931
IL
208000000X
Pediatrics Physician
036095931
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095931
—
IL
01
—
04632084
BCBS IL
IL
01
—
DF2933
RR MEDICARE GROUP
IL
Enumeration date
11/29/2006
Last updated
08/06/2008
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