Burkdoll, Tracy

Burkdoll, Tracy is an individual health care provider with primary practice located at 7207 W College Dr , Palos Heights IL 60463-1101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burkdoll, Tracy can be contacted via phone (708) 261-6867.

Contact Information

Primary practice address
7207 W College Dr Palos Heights IL 60463-1101
Phone: (708) 261-6867
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71007388A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209016327 Illinois

Profile Details

NPI number 1811413263
LBN Legal business name Burkdoll, Tracy
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2017
Last updated Sep 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811413263 NPPES
Illinois MEDICAID PENDING
Illinois Other PENDING
Illinois MEDICAID 1811413623

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