Individual
TRACY SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 E MEADOW CREEK LN, LYNN CENTER, IL 61262-9702
(309) 236-2401
(309) 236-2401
Mailing address
18 E MEADOW CREEK LN, LYNN CENTER, IL 61262-9702
(309) 236-2401
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
056003825
IL
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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