Goldstein Felt, Tracey R

Goldstein Felt, Tracey R is an individual health care provider with primary practice located at 2650 Ridge Ave Anesthesiology, Room 3905, Evanston IL 60201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Goldstein Felt, Tracey R can be contacted via phone (847) 570-2760.

Contact Information

Primary practice address
2650 Ridge Ave Anesthesiology, Room 3905 Evanston IL 60201
Phone: (847) 570-2760
Fax: (847) 570-2921
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 041-320747 Illinois

Profile Details

NPI number 1376677187
LBN Legal business name Goldstein Felt, Tracey R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 22nd, 2018 - about 6 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 1376677187 NPPES
Illinois Other 041-320747 IL STATE LIC

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