Active NPI
Madeleine Tracey, DAC
- Acupuncturist
- Deerfield, IL
National Provider Identifier
1922680966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.001555
- 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
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 |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 198.001555 | IL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Wellness LLC | Acupuncturist | Past | Accepting new patients |
| Active Wellness, LLC | Acupuncturist | Past | 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.