Individual
TRACEY R GOLDSTEIN FELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CRNA
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2760
(847) 570-2921
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041-320747
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209006400
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041-320747
IL STATE LIC
IL
Enumeration date
03/15/2007
Last updated
04/02/2026
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