Active NPI
Tracey Ingram
- Audiologist
- Tinley Park, IL
National Provider Identifier
1801045539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147000563
- Practice address
- 18210 La Grange Rd
Ste 103
Tinley Park, IL 60487-7722 - Phone
- (708) 478-3111
- Fax
- (708) 479-1146
- NPI assigned
- Sep 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147000563 | IL | Primary |
Addresses
Primary practice location
18210 La Grange Rd
Ste 103
Tinley Park, IL 60487-7722
Mailing address
215 Shuman Blvd
Ste 401
Naperville, IL 60563-8458
Phone (630) 303-5380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147000563 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presence Healthcare Services | Past | Accepting new patients | |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
| Head & Neck Cosmetic Surgery Associates LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Skokie, IL
- NPI 1558330811
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1922115864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1801045539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SHUMAN BLVD",
"address_2": "STE 401",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638458",
"telephone_number": "630-303-5380",
"fax_number": "978-313-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18210 LA GRANGE RD",
"address_2": "STE 103",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604877722",
"telephone_number": "708-478-3111",
"fax_number": "708-479-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "TRACEY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147000563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinley Park, IL
- Infant Insights Inc
- Infectious Disease Specialists LTD.
- Ingalls Memorial Hospital
- Ingalls Prof Pharmacy LL
- Ingalls Same Day Surgery Center LTD
- Innovative Care Home Health Inc.
- Innovative Outpatient Medical Systems
- Innovative Outpatient Medical Systems Inc.
- Harold Inocencio, FNP-BC
- Insight Family Vision Care,Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.