Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thad Trejo

Individual provider Acute Care Nurse Practitioner · NPI 1255870796

Thad Trejo is a Nurse Practitioner in Chicago, Illinois. Qualified in 2016, 10 years ago. Practices with Cmc Healthcare LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

4211 N Pulaski Rd
Chicago, IL 60641-2331
Phone: (312) 315-6103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 206.015167 (IL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 209015167 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209015167 (IL)

Record details

NPI number1255870796
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 16, 2017
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address4211 N Pulaski Rd, Chicago, IL 60641-2331

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cmc Healthcare Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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