Individual
TRACY ANN CASAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
(708) 923-4000
Mailing address
22390 ASTER DR, FRANKFORT, IL 60423-7897
(815) 919-2071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041378617
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209016060
IL
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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