Provider Demographics
NPI:1659564573
Name:TREVINO, SYLVIA D (MD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:D
Last Name:TREVINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 W US HIGHWAY 34
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:IL
Mailing Address - Zip Code:60545-1793
Mailing Address - Country:US
Mailing Address - Phone:630-599-7533
Mailing Address - Fax:630-599-7534
Practice Address - Street 1:1200 W US HIGHWAY 34
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:IL
Practice Address - Zip Code:60545-1793
Practice Address - Country:US
Practice Address - Phone:630-599-7533
Practice Address - Fax:630-599-7534
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036129987208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics