Individual
TREVOR JELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 INGALLS DR, HARVEY, IL 60426-3558
(855) 826-3878
Mailing address
19336 WOODFIELD CT, TINLEY PARK, IL 60487-5549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.011209
IL
Other
Enumeration date
04/17/2025
Last updated
07/15/2025
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