Tracy Northam

NPI #1871907329 in Frankfort, Illinois

Provider Information

NPI Number: 1871907329
Entity Type: Individual
Name: Tracy Northam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 12, 2014
Last Updated: Jun 12, 2014

Practice Location

Address: 10257 W LINCOLN HWY
City: Frankfort
State: Illinois
ZIP Code: 60423-1279
Phone: (815) 469-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Health Educator	174H00000X

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