Dr. Gordon M Trenholme
Infectious Disease
600 S Paulina St Suite 143
Chicago
, Illinois 60612-3806
Dr. Gordon M Trenholme
Infectious Disease
600 S Paulina St Suite 143
Chicago
, Illinois 60612-3806
(847) 803-1006
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Dr. Gordon M Trenholme
- Po Box 239d
- Park Ridge, IL
- Zip : 60068-8018
- Fax : (847) 803-1006
- Phone : (847) 759-1560
Second Address
- Dr. Gordon M Trenholme
- 600 S Paulina St Suite 143
- Chicago, IL
- Zip : 60612-3806
- Fax : (312) 942-2184
- Phone : (312) 942-2061
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | 036045715 | IL |
National Provider Identifier
| NPI | 1083675425 |
|---|---|
| Provider Name | Dr. Gordon M Trenholme |
| First Address | Park Ridge, IL 60068-8018 |
| Second Address | Chicago, IL 60612-3806 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2006 |
| Last Update Date | 23/07/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036045715 | (05) | IL |
| 440003649 | RAILROAD MEDICARE (01) | IL |
| C38705 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.