Individual
TREVOR HEDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
676 N SAINT CLAIR ST STE 2030, CHICAGO, IL 60611-2830
(312) 926-6831
(312) 926-2200
Mailing address
676 N SAINT CLAIR ST STE 2030, CHICAGO, IL 60611-2830
(312) 926-6831
(312) 926-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008453
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085.008453
—
IL
Enumeration date
02/17/2020
Last updated
11/26/2024
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