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Organization

GARY A. TRENT, D.P.M.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY A TRENT (OWNER)
(773) 445-4525
Entity
Organization

Contact information

Practice address
10837 S. WESTERN AVE., STE. 5, CHICAGO, IL 60643
(773) 445-4525
Mailing address
10837 S. WESTERN AVE., STE. 5, CHICAGO, IL 60643

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
IL

Other

Enumeration date
05/03/2007
Last updated
08/22/2020
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