Individual
TREVOR J DENSMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2743 W CONGRESS PKWY, 1W, CHICAGO, IL 60612-3485
(779) 791-6921
Mailing address
2743 W CONGRESS PKWY, 1W, CHICAGO, IL 60612-3485
(779) 791-6921
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D525-8009-0075
IL
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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