DR. TREVOR WARREN LISSOOS M.D.
NPI 1700864337
Specialist in Grayslake, IL

Active since January 04, 2006
1475 E BELVIDERE RD, SUITE 301, GRAYSLAKE, IL 60030(847) 295-0013(847) 295-1574 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Trevor Warren Lissoos M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TREVOR WARREN LISSOOS M.D. (NPI 1700864337) is an individual specialist in Grayslake, Illinois and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1700864337
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. TREVOR WARREN LISSOOSCredential: M.D.
Location Address1475 E BELVIDERE RD, SUITE 301Grayslake, IL 60030-2012
Mailing Address1475 E Belvidere Rd, Suite 301Grayslake, IL 60030-2012 · (847) 295-0013 · Fax (847) 295-1574
Fax(847) 295-1574
Sole ProprietorNo
Enumeration DateJanuary 4, 2006
Last NPPES UpdateJune 18, 2013
NPI 1700864337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1475 E BELVIDERE RD, Grayslake, IL 60030

Other Identifiers 2

Medicare UPINF54679IL
Medicare ID-Type UnspecifiedL83881IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1475 E BELVIDERE RD
GRAYSLAKE, IL 60030
Family Medicine
1475 E BELVIDERE RD, SUITE 385
GRAYSLAKE, IL 60030
Pediatrics
1475 E BELVIDERE RD, SUITE 315
GRAYSLAKE, IL 60030
Physical Therapist
1475 E BELVIDERE RD
GRAYSLAKE, IL 60030
Family Medicine
1475 E BELVIDERE RD, SUITE 312
GRAYSLAKE, IL 60030
Physical Therapist
1475 E BELVIDERE RD
GRAYSLAKE, IL 60030
Pediatrics
1475 E BELVIDERE RD, SUITE 315
GRAYSLAKE, IL 60030
Internal Medicine (Hematology & Oncology)
1475 E BELVIDERE RD
GRAYSLAKE, IL 60030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trevor Lissoos's NPI number?

The NPI number for Trevor Lissoos is 1700864337. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Trevor Lissoos located?

Trevor Lissoos practices at 1475 E Belvidere Rd Suite 301, Grayslake, IL 60030. The listed phone number is (847) 295-0013.

What is Trevor Lissoos's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Trevor Lissoos was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.