Individual
TRACY ANN BISCHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4124 N LINCOLN AVE STE 1, CHICAGO, IL 60618
(906) 282-1880
Mailing address
4124 N LINCOLN AVE STE 1, CHICAGO, IL 60618-3287
(906) 282-1880
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071008928
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2012
Last updated
07/17/2018
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