Individual
LISA TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
301 MADISON ST STE 240, JOLIET, IL 60435-6549
(815) 740-1900
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.020597
IL
Other
Enumeration date
12/10/2019
Last updated
03/19/2020
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