Individual
MS. TRACY TINA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8302-10 SOUTH PAULINA, CHICAGO, IL 60620
(773) 239-0047
(773) 239-0047
Mailing address
PO BOX 20208, CHICAGO, IL 60620-0208
(773) 239-0047
(773) 239-0047
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2216698
IL
Other
Enumeration date
09/16/2007
Last updated
08/13/2015
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