Tracy Douglas
Case Manager/Care Coordinator · Flossmoor, IL
Practice location
19530 Kedzie AveFlossmoor, IL 60422-1778
- Phone
- (708) 799-2200
NPI record
- NPI
- 1053822072
- Entity type
- Individual (Type 1)
- Enumeration date
- October 17, 2017
- Last updated
- October 17, 2017
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X |
— | — |
Mailing address
17746 Oak Park AveTinley Park, IL 60477-3936
About Tracy Douglas
Tracy Douglas is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 19530 Kedzie Ave, Flossmoor, IL 60422-1778. The NPI number 1053822072 was assigned on October 17, 2017 and the record was last updated on October 17, 2017.
Frequently asked questions
What is the NPI number of Tracy Douglas?
The NPI number is 1053822072.
What is the phone number of Tracy Douglas?
The phone number listed for the practice location is (708) 799-2200.
Where is Tracy Douglas located?
19530 Kedzie Ave, Flossmoor, IL 60422-1778.
What is the taxonomy code for Tracy Douglas?
The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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