Provider Demographics
NPI:1629287966
Name:TROTTER, ANDREW BENSEL (MD MPH)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:BENSEL
Last Name:TROTTER
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Gender:M
Credentials:MD MPH
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Mailing Address - Street 1:808 S WOOD ST # MC735
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-7300
Mailing Address - Country:US
Mailing Address - Phone:312-996-6732
Mailing Address - Fax:
Practice Address - Street 1:1801 W TAYLOR ST STE 3
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4795
Practice Address - Country:US
Practice Address - Phone:312-996-8337
Practice Address - Fax:312-413-1421
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2022-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036.141222207RI0200X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease