Trinity Health Provider LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRINITY HEALTH PROVIDER LLC

Practice address

4756 N Lamon Ave
Chicago, IL 60630-3840

Phone

(224) 518-8124

Fax

(888) 909-5815

NPI assigned

Apr 29, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Renato M Cuervo

Title

President

Phone

(224) 518-8124

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1932763539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 N LINCOLN AVE STE 15",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121766",
            "telephone_number": "847-983-8356",
            "fax_number": "888-909-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4756 N LAMON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303840",
            "telephone_number": "224-518-8124",
            "fax_number": "888-909-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "CUERVO",
        "authorized_official_first_name": "RENATO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-518-8124"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie L Trinh, PA-C
• Lyann Trinh
• Roger Nguyen Trinh, M.D.
• Alina Trinidad, LPC
• Stephen Michael Trinidad, MD, MPH
• Trinity Mobility Company
• Trinity Senior Rides Plus Chicago, LLC
• Teresa Diaz Trinka, MD
• Antonina Skapars Trinkuns, M.D.
• Victor P Trinkus, MD

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.