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

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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