Individual
TRACY HAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 BRIGHT RIDGE DR, SCHAUMBURG, IL 60194
(847) 987-6681
Mailing address
131 BRIGHT RIDGE DR, SCHAUMBURG, IL 60194-5150
(847) 987-6681
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020010757
IL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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