TREVOR W AVELLA (NPI# 1447761085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447761085 |
| Entity Type | Individual |
| Full Name | TREVOR W AVELLA |
| Credential | PA-C |
| Practice Address |
800 Biesterfield Rd Ste 101 Elk Grove Village IL 60007 |
| Mailing Address |
4885 Hoffman Blvd Ste 400 Hoffman Estates IL 60192-3727 |
| Practice Telephone | 8472559697 |
| Practice Fax Number | 8472553206 |
| Mailing Telephone | 8472559697 |
| Mailing Fax Number | 8472553206 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085006407 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4885 Hoffman Blvd Ste 400, Hoffman Estates, IL 601923727 | 8472559697 | 8472553206 |
| Street Address |
800 BIESTERFIELD RD STE 101 |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| 1184002297 | Koji Ohashi | Massage Therapist | 901 Biesterfield Rd. Ste 211, Maria A. Castellese D.c., P.C., Elk Grove, IL 60007 | 2015-05-08 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053623686 | Melissa Manzuk | Physician Assistant | 901 Biesterfield Rd Ste 300, Elk Grove Village, IL 60007-7324 | 2010-07-12 |
| 1578637138 | Stephen A Madry | Physician Assistant | 810 Biesterfield Rd Ste 308, Elk Grove Village, IL 60007-7319 | 2006-11-17 |
| 1932565421 | Aimee Nicole Woodyard | Physician Assistant | 800 Biesterfield Rd, Suite 110, Elk Grove Village, IL 60007-3361 | 2016-01-13 |
| 1477928208 | Jefferson Swisher | Physician Assistant | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 | 2015-12-04 |
| 1750673828 | Cardiothoracic Endoscopic Surgical | Physician Assistant | 800 Biesterfield Road, Elk Grove Village, IL 60007-3397 | 2011-05-09 |
| 1447314547 | Bethany A Kramer | Physician Assistant | 800 Biesterfield Rd, Eberle 610, Elk Grove Village, IL 60007-3361 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
| Find all providers with the same taxonomy | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
Please comment or provide details below to improve the information on TREVOR W AVELLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.