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General NPI Number Information
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NPI Number | 1508359936
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Entity Type | Individual
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Provider Name | ALEXANDER JONATHAN TRENK MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2018
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 800 W. CENTRAL RD.
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2349
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Country | US
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Telephone | 847-618-2809
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE. 1223
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City | EVANSTON
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State | IL
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Zip | 60201-1718
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Country | US
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Telephone | 847-570-2040
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036176334
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | A183690
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 125.071766
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License Number State | IL
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