Individual
TRACY LARKINS MUHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N PERRYVILLE RD, ROCKFORD, IL 61114-8011
(815) 971-2000
(815) 968-9340
Mailing address
654 E 47TH ST, CHICAGO, IL 60653-4224
(773) 624-4800
(773) 624-5028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-115295
IL
207R00000X
Internal Medicine Physician
2018-02066
NC
208M00000X
Hospitalist Physician
Primary
2018-02066
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-115295
STATE LICENSE
IL
Enumeration date
05/16/2006
Last updated
06/19/2023
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