Individual
DR. ANDY JOHN TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2760
(847) 570-2921
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN 041-330738
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.006942
IL
Other
Enumeration date
10/09/2007
Last updated
10/15/2024
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