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1457356958
TRACI E. POWELL
CHICAGO, IL
NPI
1457356958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036-106740)
Enumeration Date
2005-06-20
Last Update Date
2007-07-08
Business Address
Dr. TRACI E. POWELL MD
9415 S WESTERN AVE STE 201A
CHICAGO, IL 60620-6230
Phone number: 773-779-9700
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Mailing Address
Dr. TRACI E. POWELL MD
2944 W 86TH PL
CHICAGO, IL 60652-3830
Phone number: 773-471-7795
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