Individual provider Active NPI

Madeleine Tracey, DAC

  • Acupuncturist
  • Deerfield, IL
National Provider Identifier
1922680966
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001555 Issued in IL
Practice address
710 Deerfield Rd
Deerfield, IL 60015-3228
Phone
(312) 216-2452
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.001555 IL Primary

Addresses

Primary practice location

710 Deerfield Rd
Deerfield, IL 60015-3228

Mailing address

225 W Hubbard St Ste 302
Chicago, IL 60654-4916

Other practice location 1

2514 N Milwaukee Ave
Chicago, IL 60647-2630
Phone (312) 216-2452

Other names 1

  • Maddie Tracey Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address madeleine.tracey@alignedmodernhealth.com Active Wellness, LLC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
198.001555ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Wellness LLC Acupuncturist PastSince May 16, 2021 Accepting new patients
Active Wellness, LLC Acupuncturist PastSince May 16, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1922680966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W HUBBARD ST STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 DEERFIELD RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153228",
            "telephone_number": "312-216-2452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2514 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606472630",
            "country_code": "US",
            "telephone_number": "312-216-2452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRACEY",
        "first_name": "MADELEINE",
        "credential": "DAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madeleine.tracey@alignedmodernhealth.com",
            "affiliation": "Y",
            "affiliationName": "Active Wellness, LLC",
            "address_1": "225 W Hubbard St Ste 302",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606544916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MADDIE",
            "last_name": "TRACEY",
            "credential": "DAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.