Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY L HALL, D.O.
ActiveTRACY L HALL, D.O. is a Sports Medicine healthcare provider located in GREENVILLE, Illinois. NPI 1659366102 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · GREENVILLE, IL
Registration Details
- NPI Number
- 1659366102
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2005 (20.875689846648 yrs)
- Last Updated
- Dec 27, 2021
- License
-
036083073 (IL)
Practice Information
- Address
-
201 HEALTH CARE DRGREENVILLE, IL, 622461155Browse IL providers · Browse ZIP 62246
- Phone
- 6186641380
- Fax
- 6186644239
- Primary Specialty
-
Sports Medicine
207QS0010X
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.