Cicirale, Tracey L.
Cicirale, Tracey L. is an sole proprietor health care provider with primary practice located at 16609 Blackfoot Dr , Lockport IL 60441-1501. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Cicirale, Tracey L. can be contacted via phone (815) 588-4016.Contact Information
Primary practice address
16609 Blackfoot Dr
Lockport IL 60441-1501
Phone: (815) 588-4016
Fax: (815) 588-4016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X |
Profile Details
| NPI number | 1851417273 |
|---|---|
| LBN Legal business name | Cicirale, Tracey L. |
| Credentials | RD,LDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Aug 3rd, 2015 - about 10 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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