Individual
MS. TRACEY INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18210 LA GRANGE RD, STE 103, TINLEY PARK, IL 60487-7722
(708) 478-3111
(708) 479-1146
Mailing address
215 SHUMAN BLVD, STE 401, NAPERVILLE, IL 60563-8458
(630) 303-5380
(978) 313-6824
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000563
IL
Other
Enumeration date
09/18/2008
Last updated
10/30/2014
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