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Organization

TRISTA NEGELE MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRISTA NEGELE MD (PRESIDENT)
(847) 952-7375
Entity
Organization

Contact information

Practice address
800 BIESTERFIELD RD, SUITE 2004, ELK GROVE VILLAGE, IL 60007-3311
(847) 952-7375
Mailing address
800 BIESTERFIELD RD, SUITE 2004, ELK GROVE VILLAGE, IL 60007-3361
(630) 264-6718

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
11/01/2006
Last updated
04/01/2014
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