Individual
VINCENT C TRAYNELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST, SUITE 970, CHICAGO, IL 60612-3841
(312) 942-6644
(312) 942-2176
Mailing address
1725 W HARRISON ST, SUITE 970, CHICAGO, IL 60612-3841
(312) 942-6644
(312) 942-2176
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036-122576
IL
207T00000X
Neurological Surgery Physician
27034
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272963
—
IA
01
—
27296
WELLMARK BCBS
IA
Enumeration date
08/24/2005
Last updated
02/26/2009
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