Individual
MRS. TRACY C FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2650 RIDGE AVE, EMERGENCY DEPARTMENT: PHYSICIAN ASSISTANTS, EVANSTON, IL 60201-1718
(847) 570-1353
Mailing address
2650 RIDGE AVE, EMERGENCY DEPARTMENT: PHYSICIAN ASSISTANTS, EVANSTON, IL 60201-1718
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004406
IL
Other
Enumeration date
09/17/2012
Last updated
03/23/2018
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