Individual
ALEXANDRA TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
321 N LA GRANGE RD, LA GRANGE PARK, IL 60526-5622
(708) 745-5277
Mailing address
5220 EAST AVE, COUNTRYSIDE, IL 60525-3133
(087) 455-2777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
07/31/2024
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