Individual
TRACY ELLEN KRUGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3232 LAKE AVE STE 330, WILMETTE, IL 60091-1085
(224) 226-9420
(847) 256-2140
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-008621
IL
363LP0200X
Pediatric Nurse Practitioner
041293414
IL
363LP0200X
Pediatric Nurse Practitioner
209-008621
IL
363LP0200X
Pediatric Nurse Practitioner
562732
CA
Other
Enumeration date
12/13/2010
Last updated
09/02/2025
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