Individual provider Active NPI

Tracy C Woods, NP

  • Nurse Practitioner
  • Oak Lawn, IL
National Provider Identifier
1245575042
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209009993 Issued in ID
Practice address
6300 W 95TH St
Heartland Care Partners
Oak Lawn, IL 60453-2256
Phone
(800) 375-5495
Fax
(800) 564-5952
NPI assigned
Dec 5, 2012
Last updated
Dec 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209009993 ID Primary

Addresses

Primary practice location

6300 W 95TH St
Heartland Care Partners
Oak Lawn, IL 60453-2256

Mailing address

3450 W Central Ave Ste 230
HCR Manorcare Medical Services of Florida, LLC
Toledo, OH 43606-1417
Phone (800) 375-5495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130321000379 IL Practitioner - Nurse Practitioner 2062657034 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1740 W Taylor St
Suite 3200
Chicago, IL 60612-7232
Phone (312) 996-4021

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209009993IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Jul 1, 2016 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Aug 16, 2023 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner CurrentSince Nov 30, 2017 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Eaves Health Partners PLLC CurrentSince Mar 20, 2023 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jul 1, 2016 Accepting new patients

Locations

1740 W Taylor St
#3200
Chicago, IL 60612
Phone (312) 996-4021

1740 W Taylor St
#931
Chicago, IL 60612
Phone (312) 355-5258

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

6300 W 95th St
Oak Lawn, IL 60453
Phone (708) 599-8800

9401 S Kostner Ave
Oak Lawn, IL 60453
Phone (708) 423-6731

3450 Oakton St
Ste 300
Skokie, IL 60076

5151 Church St
Skokie, IL 60077
Phone (773) 436-6600

L2540
Columbus, OH 43260

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1245575042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 W CENTRAL AVE STE 230",
            "address_2": "HCR MANORCARE MEDICAL SERVICES OF FLORIDA, LLC",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061417",
            "telephone_number": "800-375-5495",
            "fax_number": "800-564-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W 95TH ST",
            "address_2": "HEARTLAND CARE PARTNERS",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532256",
            "telephone_number": "800-375-5495",
            "fax_number": "800-564-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "TRACY",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "209009993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.