Individual
MONICA M TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18210 LA GRANGE RD STE 200, TINLEY PARK, IL 60487-7725
(708) 479-6636
(708) 479-9460
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041442780
IL
363L00000X
Nurse Practitioner
Primary
209.029597
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2022
Last updated
09/18/2024
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