NPI 1144313404

Trent D Proehl, MD

Practitioner General Practice Physician Hopedale, IL

Practice location

Address: 107 Tremont St, Hopedale, IL 61747-7525
Phone: (309) 449-4338
Fax: (309) 449-4880

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 036111370 (IL)

Other General Practice providers in Illinois →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 036111370 (IL)

Other Surgery providers in Illinois →

Registry record

NPI: 1144313404
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2006
Record last updated: 18 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.