Ellington, Tracy

Ellington, Tracy is an individual health care provider with primary practice located at 650 Dakota Suite B, Fox Valley Podiatry Of Mchenry Country, Crystal Lake IL 60012. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Ellington, Tracy can be contacted via phone (815) 788-8680.

Contact Information

Primary practice address
650 Dakota Suite B, Fox Valley Podiatry Of Mchenry Country Crystal Lake IL 60012
Phone: (815) 788-8680
Fax: (815) 788-8746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X Illinois
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X Illinois

Profile Details

NPI number 1770592636
LBN Legal business name Ellington, Tracy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2007 - about 17 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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