Individual
THAD TREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4211 N PULASKI RD, CHICAGO, IL 60641-2331
(312) 315-6103
Mailing address
4211 N PULASKI RD, CHICAGO, IL 60641-2331
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
206.015167
IL
Other
Enumeration date
02/16/2017
Last updated
10/31/2025
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