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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE TRACEY, PA

Active

STEPHANIE TRACEY, PA is a Physician Assistant healthcare provider located in ITASCA, Illinois. NPI 1275622888 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ITASCA, IL

Registration Details

NPI Number
1275622888
Provider Type
Individual
Gender
Female
NPI Issued
Oct 12, 2006 (19.812339989773 yrs)
Last Updated
Mar 9, 2022
License
085-001077 (IL)

Practice Information

Address
550 E DEVON AVE STE 200
ITASCA, IL, 601432639
Browse IL providers · Browse ZIP 60143
Phone
8646253376
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ITASCA, IL

Name Credential NPI
GRETCHEN JONES PAC 1750480570
PRIANCA PATEL 1255968772
MARINA MOELLER PA-C 1295533826
SHAYLA MARIE EMMETT MCMSC, PA-C 1174472443
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.