Provider Demographics
NPI:1447982558
Name:CHIUYE, TRINA (RN)
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:
Last Name:CHIUYE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16520 HONORE AVE
Mailing Address - Street 2:
Mailing Address - City:MARKHAM
Mailing Address - State:IL
Mailing Address - Zip Code:60428-5815
Mailing Address - Country:US
Mailing Address - Phone:708-465-0151
Mailing Address - Fax:708-825-1259
Practice Address - Street 1:2308 170TH ST
Practice Address - Street 2:
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-1206
Practice Address - Country:US
Practice Address - Phone:708-465-0151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041306801163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health