Tracy Douglas

NPI #1053822072 in Flossmoor, Illinois

Provider Information

NPI Number
1053822072
Entity Type
Individual
Name
Tracy Douglas
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 17, 2017
Last Updated
Oct 17, 2017

Practice Location

Address
19530 KEDZIE AVE
ZIP Code
60422-1778
Phone
(708) 799-2200

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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