MR. Glen Derrick Trammell, PA-C

NPI #1013130152 in Chicago, Illinois

Provider Information

NPI Number
1013130152
Entity Type
Individual
Name
MR. Glen Derrick Trammell, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Apr 10, 2007
Last Updated
Apr 30, 2021

Practice Location

Address
1901 W HARRISON ST
ZIP Code
60612-3714
Phone
(773) 869-7488

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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