Individual provider · Type 1 NPI

Glen Derrick Trammell, PA-C

Physician Assistant · Chicago, IL

NPI number 1013130152 Active

Practice location

1901 W Harrison St
Chicago, IL 60612-3714

Mailing address

3248 186th St
Homewood, IL 60430-2798

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085-000875 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013130152

Glen Derrick Trammell, PA-C's National Provider Identifier is 1013130152, issued on Apr 10, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Apr 30, 2021.