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1700162583
TRACY BISTERFELDT
CHICAGO, IL
NPI
1700162583
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Former Name
TRACY M SCHAFER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.008187)
Enumeration Date
2011-10-25
Last Update Date
2019-10-25
Business Address
Dr. TRACY BISTERFELDT Psy.D.
53 W. JACKSON BLVD. UNIT 635
CHICAGO, IL 60604
Phone number: 414-379-2959
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Mailing Address
Dr. TRACY BISTERFELDT Psy.D.
934 N. GROVE AVE.
OAK PARK, IL 60302
Phone number: 414-379-2959
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