Elida Gricelda Trejo, FNP | |
1425 North Hunt Club Road, Ste 100, Gurnee, IL 60031 | |
(847) 548-2200 | |
(847) 548-2865 |
Full Name | Elida Gricelda Trejo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1425 North Hunt Club Road, Gurnee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811777683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 041494182 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209028323 (Illinois) | Primary |
Entity Name | Provida Health Center Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881890333 PECOS PAC ID: 1557386273 Enrollment ID: O20051012000360 |
Mailing Address | Practice Location Address |
---|---|
Elida Gricelda Trejo, FNP 1425 North Hunt Club Road, Ste 100, Gurnee, IL 60031-2632 Ph: (847) 548-2200 | Elida Gricelda Trejo, FNP 1425 North Hunt Club Road, Ste 100, Gurnee, IL 60031 Ph: (847) 548-2200 |
Julia Firlit Buesser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 S Greenleaf St, Ste J, Gurnee, IL 60031 Phone: 847-599-1111 | |
Erin Vist, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6155 Grand Ave Ste 100, Gurnee, IL 60031 Phone: 224-271-6700 Fax: 224-271-6701 | |
Mrs. Michelle Gaa Ortega, APN/CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 S. Il Route 21, Suite 130, Gurnee, IL 60031 Phone: 847-566-3337 Fax: 847-816-3166 | |
Mark H Galera, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Tower Ct Ste A, Gurnee, IL 60031 Phone: 847-244-3525 | |
Violetta Markaryan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Tower Ct Ste C, Gurnee, IL 60031 Phone: 847-244-2960 | |
Eileen Fleer, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5101 Washington St Ste 13, Gurnee, IL 60031 Phone: 847-263-4343 | |
Roseviminda Abano, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7501 Grand Ave, Gurnee, IL 60031 Phone: 800-323-8622 |