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Individual

JENNY TRACY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5700 S MARYLAND AVE, CHICAGO, IL 60637-1426
(512) 825-2098
Mailing address
500 N DAMEN AVE APT 407, CHICAGO, IL 60622-8968
(512) 825-2098

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
041507119
IL

Other

Enumeration date
08/07/2023
Last updated
08/07/2023
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