Powell, Traci E.

Powell, Traci E. is an individual health care provider with primary practice located at 9415 S Western Ave Ste 201A, Chicago IL 60620-6230. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Powell, Traci E. can be contacted via phone (773) 779-9700.

Contact Information

Primary practice address
9415 S Western Ave Ste 201A Chicago IL 60620-6230
Phone: (773) 779-9700
Fax: (773) 779-9732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Illinois

Profile Details

NPI number 1457356958
LBN Legal business name Powell, Traci E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 8th, 2007 - about 17 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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