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Individual

ELIDA GRICELDA TREJO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
11316 W WADSWORTH RD STE 103, BEACH PARK, IL 60099-3367
(708) 404-9070
(708) 273-5565
Mailing address
1425 N HUNT CLUB RD STE 100, GURNEE, IL 60031-2632
(847) 548-2200
(847) 548-2865

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
041494182
IL
207Q00000X
Family Medicine Physician
Primary
277004895
IL
363LF0000X
Family Nurse Practitioner
Primary
209028323
IL

Other

Enumeration date
09/29/2023
Last updated
04/06/2026
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