Matchinski, Tracy L
Matchinski, Tracy L is an individual health care provider with primary practice located at 3241 S Michigan Ave , Chicago IL 60616-3849. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Matchinski, Tracy L can be contacted via phone (312) 225-6200.Contact Information
Primary practice address
3241 S Michigan Ave
Chicago IL 60616-3849
Phone: (312) 225-6200
Fax: (312) 949-7660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046008902 | Illinois |
Profile Details
| NPI number | 1730172271 |
|---|---|
| LBN Legal business name | Matchinski, Tracy L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jan 20th, 2012 - about 12 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 | 1730172271 | NPPES |
| Illinois | MEDICAID | 046008902 |
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