Tracy, Patrick Terence

Tracy, Patrick Terence is an individual health care provider with primary practice located at 200 E Pennsylvania Ave , Peoria IL 61603-3089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Tracy, Patrick Terence can be contacted via phone (309) 624-4000.

Contact Information

Primary practice address
200 E Pennsylvania Ave Peoria IL 61603-3089
Phone: (309) 624-4000
Fax: (309) 624-4010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036069397 Illinois

Profile Details

NPI number 1750336889
LBN Legal business name Tracy, Patrick Terence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Mar 2nd, 2016 - about 10 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 1750336889 NPPES
Illinois MEDICAID 036069397

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