DR. TRACEY KINIGAKISM.D.- YOUR WELLNESS PARTNERLLC NPI 1225279680

NPI Information

NPI: 1225279680
Provider Name: DR. TRACEY KINIGAKIS,M.D.- YOUR WELLNESS PARTNER,LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1495 NORTHROCK CT
ROCKFORD, IL
ZIP 61103
Phone: (815) 618-8116
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DR. TRACEY KINIGAKIS,M.D.- YOUR WELLNESS PARTNER,LLC is a primary care clinic center in Rockford, IL. DR. TRACEY KINIGAKIS,M.D.- YOUR WELLNESS PARTNER,LLC NPI is 1225279680. The provider is registered as an organization entity type.

The provider's business location address is:

1495 NORTHROCK CT
ROCKFORD, IL
ZIP 61103-233
Phone: (815) 618-8116

The provider's authorized official is Tracey Dawn Kinigakis .
The authorized official title is Proprietor and has the following contact phone number (815) 618-8116.

The enumeration date for this NPI number is 3/16/2009 and was last updated on 3/16/2009.

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	261QP2300X	Clinic/Center	Primary Care	036-095213	ILLINOIS	Yes

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: 11/14/2023

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