TRACEY CABLE FNP NPI 1083156376

NPI Information

NPI: 1083156376
Provider Name: TRACEY CABLE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5841 S MARYLAND AVE STE E-500
CHICAGO, IL
ZIP 60637
Phone: (773) 702-3316
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Tracey Cable, FNP is a family nurse practitioner in Chicago, IL. Tracey Cable, FNP NPI is 1083156376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5841 S MARYLAND AVE STE E-500
CHICAGO, IL
ZIP 60637
Phone: (773) 702-3316
Fax: (773) 702-4187

The NPI 1083156376 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2016 and was last updated on 6/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209017316	ILLINOIS	Yes
2	363LF0000X	Nurse Practitioner	Family	28189189A	INDIANA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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