Shadley, Tracy

Shadley, Tracy is an individual health care provider with primary practice located at 7220 Great Hill Rd , Crystal Lake IL 60012-1637. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Shadley, Tracy can be contacted via phone (847) 999-8777.

Contact Information

Primary practice address
7220 Great Hill Rd Crystal Lake IL 60012-1637
Phone: (847) 999-8777
Fax: (815) 893-4534
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277.001865 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 277.001865 Illinois

Profile Details

NPI number 1699263731
LBN Legal business name Shadley, Tracy
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2018
Last updated Dec 12th, 2024 - about 2 years 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.

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