Fertel, Traci Melinda

Fertel, Traci Melinda is an individual health care provider with primary practice located at 13300 Division Suite B7, Plainfield IL 60585. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fertel, Traci Melinda can be contacted via phone (815) 577-3666.

Contact Information

Primary practice address
13300 Division Suite B7 Plainfield IL 60585
Phone: (815) 577-3666
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149-001920 Illinois
Behavioral Health & Social Service Providers / School 1041S0200X 149-001920 Illinois

Profile Details

NPI number 1902962178
LBN Legal business name Fertel, Traci Melinda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated May 17th, 2010 - about 14 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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