Omorogieva, Tracy O
Omorogieva, Tracy O is an individual health care provider with primary practice located at 17901 Governors Hwy Ste 206 , Homewood IL 60430-1146. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Omorogieva, Tracy O can be contacted via phone (708) 960-4280.Contact Information
Primary practice address
17901 Governors Hwy Ste 206
Homewood IL 60430-1146
Phone: (708) 960-4280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.022270 | Illinois |
Profile Details
| NPI number | 1003493958 |
|---|---|
| LBN Legal business name | Omorogieva, Tracy O |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2021 |
| Last updated | Dec 23rd, 2021 - about 3 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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