Trevil, Josette M

Trevil, Josette M is an sole proprietor health care provider with primary practice located at 360 E South Water St Suite 1712, Chicago IL 60601-4028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Trevil, Josette M can be contacted via phone (312) 861-3827.

Contact Information

Primary practice address
360 E South Water St Suite 1712 Chicago IL 60601-4028
Phone: (312) 861-3827
Fax: (312) 861-3827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-066595 Illinois

Profile Details

NPI number 1942292107
LBN Legal business name Trevil, Josette M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Dec 12th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942292107 NPPES
Illinois MEDICAID 036-066595-4

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