Travis Jay Trott

NPI 1003162983 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1003162983
Gender Male
Enumeration Date 07/30/2012
Last Updated 10/15/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
715 LAKE ST
STE 310
OAK PARK IL, 60301-1422, US
Phone (773) 354-0163
Fax
Business Location
1414 N DEARBORN ST
CHICAGO IL, 60610-1506, US
Phone (773) 354-0163
Fax (708) 795-4834
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mr. Travis Jay Trott NPI is 1003162983, taxonomy code is 390200000X Travis Jay Trott physically located at 715 Lake St, Oak Park IL, 60301-1422. NPI Number Travis Jay Trott has the Individual type.

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1003162983 NPI number is provided on an as is basis without warranty of any kind. 1003162983 is maintained by the National Plan & Provider Enumeration System. The contents of Travis Jay Trott are for informational purposes only.