STEPHANIE TRACEY, PA
Physician Assistant
Active
Individual
NPI: 1275622888
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 085-001077 (IL) |
Frequently Asked Questions
NPI 1275622888 is the National Provider Identifier for STEPHANIE TRACEY, PA, a Physician Assistant provider located in Itasca, IL. This NPI was enumerated on October 12, 2006.
STEPHANIE TRACEY, PA practices at 550 E DEVON AVE STE 200, Itasca, IL 60143.
Quick Facts
- NPI
- 1275622888
- Type
- Individual
- Enumerated
- Oct 12, 2006
- Last Updated
- Mar 9, 2022
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