MEDICARE: RICHARD TRESTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	036-082356	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669554531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD TRESTER MD

Provider Business Mailing Address
First Line	:	1501 S CALIFORNIA AVE # 7-140
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-1732
Country	:	US
Telephone Number	:	773-257-2933
Fax Number	:

Provider Business Practice Location Address
First Line	:	1108 S KEDZIE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3935
Country	:	US
Telephone Number	:	773-722-2712
Fax Number	:	773-732-2529

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	03/12/2026

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Directions to “ RICHARD TRESTER MD” Practice Location

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