Individual
JACQUELINE E TRCKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP-BC
Contact information
Practice address
527 S MARTHA ST, LOMBARD, IL 60148-2727
(331) 551-8808
Mailing address
527 S MARTHA ST, LOMBARD, IL 60148-2727
(312) 208-2860
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009853
IL
Other
Enumeration date
10/02/2012
Last updated
07/25/2022
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