DR. TRACY BISTERFELDT (NPI# 1700162583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700162583 |
Entity Type | Individual |
Full Name | DR. TRACY BISTERFELDT |
Other Name | DR. TRACY M SCHAFER |
Credential | PSY.D. |
Practice Address |
53 W. Jackson Blvd. Unit 635 Chicago IL 60604 |
Mailing Address |
934 N. Grove Ave. Oak Park IL 60302 |
Practice Telephone | 4143792959 |
Mailing Telephone | 4143792959 |
Enumeration Date | 2011-10-25 |
Last Update Date | 2019-10-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.008187 | IL | Behavioral Health & Social Service Providers |
Street Address |
53 W. JACKSON BLVD. UNIT 635 |
City | CHICAGO |
State | IL |
Zip Code | 60604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750853719 | Michael Cramer | Nurse Practitioner | 322 S. Michigan Ave, Suite 1100, Chicago, IL 60604 | 2018-12-31 |
1174079883 | Cardinal Technical Sc | Specialist | 208 Lasalle Street, Suite 214, Chicago, IL 60604 | 2016-09-01 |
1427412436 | Your Choice Homecare, Inc. | Home Health | 332 S. Michigan Ave., Suite 1032-y43, Chicago, IL 60604 | 2016-04-06 |
1548634843 | Catherine Ranieri | Counselor | 53 W Jackson Blvd Ste 1625, Chicago, IL 60604 | 2015-11-24 |
1356710701 | Otis Peeples | Counselor | 134 N Lasalle Suite 400, Chicago, IL 60604 | 2015-09-16 |
1124495916 | Te You Moore | Counselor | 53 W Jackson Blvd Ste 1360, Chicago, IL 60604 | 2015-08-27 |
1992187686 | Kathryn Weaver | Psychiatry & Neurology | 343 South Dearborn Street Apt # 304, Chicago, IL 60604 | 2015-06-18 |
1619201084 | Jennifer Gurski | Social Worker | 53 W. Jackson Blvd, Chicago, IL 60604 | 2009-10-01 |
1578736252 | Richard A Reschke | Naprapath | 141 W. Jackson Boulevard, Suite 2170, Chicago, IL 60604 | 2008-04-02 |
1609085414 | Patrick Jean Hen Pierre | Dentist | 200 S. Michigan Ave, Suite 1400, Chicago, IL 60604 | 2007-05-21 |
Find all providers in zip 60604 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.