Individual
MATTHEW TROUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2000
Mailing address
8 E RANDOLPH ST, CHICAGO, IL 60601-3622
(989) 615-7596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003627
IL
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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