Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY SHEPHERD
ActiveGerontology Occupational Therapist · LYNN CENTER, IL
Registration Details
- NPI Number
- 1225980246
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 11, 2026 (0.18995970413711 yrs)
- Last Updated
- Feb 11, 2026
- License
-
056003825 (IL)
Practice Information
- Address
-
18 E MEADOW CREEK LNLYNN CENTER, IL, 612629702Browse IL providers · Browse ZIP 61262
- Phone
- 3092362401
- Fax
- 3092362401
- Primary Specialty
-
Gerontology Occupational Therapist
225XG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.