Individual provider · Type 1 NPI

Trevor Warren Lissoos, MD

Specialist · Grayslake, IL

NPI number 1700864337 Active

Practice location

1475 E Belvidere Rd, Suite 301
Grayslake, IL 60030-2012

Fax (847) 295-1574

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1700864337

Trevor Warren Lissoos, MD's National Provider Identifier is 1700864337, issued on Jan 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grayslake, IL. The record was last updated on Jun 18, 2013.