Stiles, Tracey Denise

Stiles, Tracey Denise is an sole proprietor health care provider with primary practice located at 658 N Dearborn St , Chicago IL 60654-3816. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Internist, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is her primary health care specialty. Stiles, Tracey Denise can be contacted via phone (312) 642-1138.

Contact Information

Primary practice address
658 N Dearborn St Chicago IL 60654-3816
Phone: (312) 642-1138
Fax: (312) 642-1349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Internist 111NI0900X 038006300 Illinois
Chiropractic Providers / Chiropractor 111N00000X 038006300 Illinois

Profile Details

NPI number 1912076316
LBN Legal business name Stiles, Tracey Denise
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Jun 15th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912076316 NPPES
Illinois Other 1605840 BLUE CROSS BLUE SHIELD

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