Knierim, Traci Sumer

Knierim, Traci Sumer is an sole proprietor health care provider with primary practice located at 420 Broadway Ave E , Mattoon IL 61938-4655. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Knierim, Traci Sumer can be contacted via phone (217) 512-1370.

Contact Information

Primary practice address
420 Broadway Ave E Mattoon IL 61938-4655
Phone: (217) 512-1370
Fax: (217) 775-0736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 209028007 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209028007 Illinois

Profile Details

NPI number 1407630940
LBN Legal business name Knierim, Traci Sumer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2023
Last updated Apr 6th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers