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1962515049
KATHERINE A. TRACY
CHICAGO, IL
NPI
1962515049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 036093041)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
-- KATHERINE A. TRACY
912 S WOOD ST
CHICAGO, IL 60612-4300
Phone number: 312-996-7206
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Mailing Address
-- KATHERINE A. TRACY
912 S WOOD ST
CHICAGO, IL 60612-4300
Phone number: 312-996-7206
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