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
Fax: (312) 949-7660
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730172271 NPPES
Illinois MEDICAID 046008902

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