Individual
TRACY GAIL PESSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5840 S MARYLAND AVE, UCMC DEPARTMENT OF ANESTHESIA AND CRITICAL CARE; MC4028, CHICAGO, IL 60637-1462
(773) 702-6700
Mailing address
339 CONSORT DR, UNIT 1105, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 200-4243
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2016012566
MO
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
125.057792
IL
Other
Enumeration date
06/09/2011
Last updated
08/08/2016
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