Kurtzer, Traci A
Kurtzer, Traci A is an individual health care provider with primary practice located at 636 Church St Ste 217, Evanston IL 60201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kurtzer, Traci A can be contacted via phone (847) 328-0238.Contact Information
Primary practice address
636 Church St Ste 217
Evanston IL 60201
Phone: (847) 328-0238
Fax: (847) 328-1425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | Illinois |
Profile Details
| NPI number | 1710950464 |
|---|---|
| LBN Legal business name | Kurtzer, Traci A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710950464 | NPPES |
| Illinois | Other | 01632915 | BCBS |
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