TRACI EDWARDS PUK APRN NPI 1194408021

NPI Information

  • NPI: 1194408021
  • Provider Name: TRACI EDWARDS PUK, APRN
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10 MARTIN AVE STE 200
    NAPERVILLE, IL
    ZIP 60540
  • Phone: (630) 600-0700

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NPI Details

Traci Edwards Puk, APRN is an acute care nurse practitioner in Naperville, IL with 3 years of experience. Traci Edwards Puk, APRN NPI is 1194408021. 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:

10 MARTIN AVE STE 200
NAPERVILLE, IL
ZIP 60540-535
Phone: (630) 600-0700

The NPI 1194408021 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 8/8/2023 and was last updated on 4/25/2025.

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
1363LA2100XNurse PractitionerAcute Care209.027995ILLINOISYes

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: 11/21/2025

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