Individual
KATIE L TRINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
675 N SAINT CLAIR ST STE 20-150, CHICAGO, IL 60611-5979
(312) 695-8146
(312) 695-7030
Mailing address
675 N SAINT CLAIR ST STE 20-150, CHICAGO, IL 60611-5979
(312) 695-8146
(312) 695-7030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007614
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002507A
STATE LICENSE
IN
Enumeration date
06/18/2018
Last updated
08/28/2020
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