Healthcare Provider Details

I. General information

NPI: 1336055326
Provider Name (Legal Business Name): LYANN TRINH
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 E HURON ST STE LC-700
CHICAGO IL
60611-2908
US

IV. Provider business mailing address

420 E OHIO ST APT 6C
CHICAGO IL
60611-4645
US

V. Phone/Fax

Practice location:
  • Phone: 312-926-4660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.308912
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: