Individual provider · Type 1 NPI
Thad Trejo
Acute Care Nurse Practitioner · Chicago, IL
NPI number
1255870796
Active
Practice location
4211 N Pulaski Rd
Chicago, IL 60641-2331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 206.015167 (IL) |
| Adult Health Nurse Practitioner | 363LA2200X | 209015167 (IL) |
| Gerontology Nurse Practitioner | 363LG0600X | 209015167 (IL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1255870796
Thad Trejo's National Provider Identifier is 1255870796, issued on Feb 16, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Chicago, IL. The record was last updated on Aug 3, 2026.