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Individual

DR. GARY TRENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
711 TIPPERARY CT APT 2B, SCHAUMBURG, IL 60193-3226
(773) 445-4525
(773) 232-0389
Mailing address
711 TIPPERARY CT APT 2B, SCHAUMBURG, IL 60193-3226
(312) 406-1280
(773) 232-0389

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-004438
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60001758
BLUE CROSSBLUE SHIELD
IL
Enumeration date
01/15/2007
Last updated
12/23/2022
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