Kruger, Tracy Ellen

Kruger, Tracy Ellen is an sole proprietor health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kruger, Tracy Ellen can be contacted via phone (708) 684-5695.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Phone: (708) 684-5695
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 562732 California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 041293414 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209-008621 Illinois

Profile Details

NPI number 1720381726
LBN Legal business name Kruger, Tracy Ellen
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2010
Last updated Dec 11th, 2023 - about last year

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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