Individual
DR. TRISTA NEGELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 2004, ELK GROVE VILLAGE, IL 60007-3361
(847) 952-7375
Mailing address
800 BIESTERFIELD RD, SUITE 2004, ELK GROVE VILLAGE, IL 60007-3361
(874) 952-7375
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036-092361
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633552
BCBS PROVIDER ID
IL
Enumeration date
09/26/2005
Last updated
04/01/2014
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