Individual
TREVOR PARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2109
Mailing address
4032 W TALUS CT, PEORIA, IL 61615-8902
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.163371
IL
Other
Enumeration date
04/08/2020
Last updated
07/15/2024
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