Individual
TREY KYLE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
211 E ONTARIO ST STE 200, CHICAGO, IL 60611-3284
(312) 694-7000
(312) 926-6274
Mailing address
211 E ONTARIO ST STE 200, CHICAGO, IL 60611-3284
(312) 694-7000
(312) 926-6274
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
023232
NY
363A00000X
Physician Assistant
Primary
085009454
IL
Other
Enumeration date
02/08/2019
Last updated
07/26/2023
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