Stephanie Tracey in Itasca - Physician Assistant

Stephanie Tracey - NPI 1275622888

Stephanie Tracey is a Physician Assistant in Itasca, Illinois. Stephanie Tracey practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephanie Tracey is 1275622888. The last update date is 2022-03-09.

Stephanie Tracey's current location address is 550 E Devon Ave Ste 200, Itasca, Illinois. You can contact this provider via phone number 8646253376. The mailing address for Stephanie Tracey is 550 E Devon Ave Ste 200, Itasca, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephanie Tracey
Address 550 E Devon Ave Ste 200, Itasca, Illinois
Phone Number 8646253376
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1275622888
Provider Enumeration Date 2006-10-12
Last Updated Date 2022-03-09

Provider Mailing Address Detail

Address 550 E Devon Ave Ste 200
City Itasca
State Illinois (IL)
Post Code 601432639
Phone Number 8646253376
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 085-001077
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Stephanie Tracey

What is the unique 10-digit identification code assigned to Stephanie Tracey by the Centers for Medicare & Medicaid Services?

The Stephanie Tracey has been issued the NPI (National Provider Identifier) 1275622888, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Stephanie Tracey is physically located?

The Stephanie Tracey is physically situated at the following address: 550 E Devon Ave Ste 200, Itasca, IL, 601432639.

What is Stephanie Tracey's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stephanie Tracey is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

When did the Stephanie Tracey receive its 1275622888?

The Stephanie Tracey was issued its 1275622888 on 2006-10-12, which is the date when the organization was assigned this unique identifier.

As of what date were the Stephanie Tracey's details last updated?

The information pertaining to the Stephanie Tracey, including its address, specialty, and other details, was most recently updated on 2022-03-09.

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