Negele, Trista
Negele, Trista is an individual health care provider with primary practice located at 800 Biesterfield Rd Suite 2004, Elk Grove Village IL 60007-3361. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Negele, Trista can be contacted via phone (847) 952-7375.Contact Information
Primary practice address
800 Biesterfield Rd Suite 2004
Elk Grove Village IL 60007-3361
Phone: (847) 952-7375
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 036-092361 | Illinois |
Profile Details
| NPI number | 1407842321 |
|---|---|
| LBN Legal business name | Negele, Trista |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Apr 1st, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407842321 | NPPES |
| Illinois | Other | 1633552 | BCBS PROVIDER ID |
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