Tracey L Predkelis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051039907 Issued in IL

Practice address

952 Erb Farm LN
Naperville, IL 60563-2598

Phone

(630) 717-7339

NPI assigned

May 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1306293832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 ERB FARM LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632598",
            "telephone_number": "630-717-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 ERB FARM LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632598",
            "telephone_number": "630-717-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREDKELIS",
        "first_name": "TRACEY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051039907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Prather, AU.D.
• David Mark Prator Jr., D.C.
• David Lee Pratt, D.P.T.
• Praveen V Parvathala MD LLC
• Precision ABA
• Catherine Predki, CCC-SLP
• Stella Lucia Preis
• Premier Care for Women PLLC
• Premier Internists of Naperville Inc.
• Premier Internists S.C.

• Pharmacist in Naperville, IL
• Providers in Naperville, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.