Individual
DR. MICHAEL R TREISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1431 N WESTERN AVE, CHICAGO, IL 60622-1797
(312) 633-5866
(312) 633-5867
Mailing address
1431 N WESTERN AVE, CHICAGO, IL 60622-1797
(312) 633-5866
(312) 633-5867
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36042189
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036042189
—
IL
Enumeration date
02/02/2006
Last updated
03/14/2011
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