Individual
DR. TREVOR WARREN LISSOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 E BELVIDERE RD, SUITE 301, GRAYSLAKE, IL 60030-2012
(847) 295-0013
(847) 295-1574
Mailing address
1475 E BELVIDERE RD, SUITE 301, GRAYSLAKE, IL 60030-2012
(847) 295-0013
(847) 295-1574
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
01/04/2006
Last updated
06/18/2013
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