Individual
TRACY E MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15300 WEST AVE STE 100A, ORLAND PARK, IL 60462-4600
(708) 226-2318
(708) 226-2319
Mailing address
15300 WEST AVE STE 100A, ORLAND PARK, IL 60462-4600
(708) 226-2318
(708) 226-2319
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008358
IL
Other
Enumeration date
06/10/2021
Last updated
09/22/2025
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