Tracy Lynne Carlson, PT
Individual provider Active NPI General Acute Care Hospital · Winfield, IL
NPI 1497070569 · NPPES record last updated Apr 1, 2010
Key facts
- NPI
- 1497070569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 070010310 (IL)
- Practice address
- 25 N Winfield Rd
Winfield, IL 60190 - Phone
- (630) 933-6293
- NPI assigned
- Apr 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070010310 | IL | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehabilitation Clinics, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 070010310 | IL | Yes |
Addresses
Primary practice location
25 N Winfield Rd
Winfield, IL 60190
Mailing address
3S664 Melcher Ave
Warrenville, IL 60555-3230
Phone (630) 836-0573
Other providers in Winfield, IL
- Angela Campbell
- James J. Cannon
- Antonietta Caporale
- Lauren Carlos
- Jennifer L Carlson
- James R Carroll
- Joellen Carroll
- Meta Carroll
- April Caruso
- Kelsey Casali
All providers in Winfield, IL · General Acute Care Hospital in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.