Individual
TRACY DENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
370 SUMMIT ST, ELGIN, IL 60120-3843
(847) 608-6323
Mailing address
370 SUMMIT ST, ELGIN, IL 60120-3843
(847) 608-6323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002410
IL
Other
Enumeration date
06/18/2007
Last updated
12/17/2021
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