MS. TRACEY INGRAM (NPI# 1801045539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801045539 |
| Entity Type | Individual |
| Full Name | MS. TRACEY INGRAM |
| Practice Address |
18210 La Grange Rd Ste 103 Tinley Park IL 60487-7722 |
| Mailing Address |
215 Shuman Blvd Ste 401 Naperville IL 60563-8458 |
| Practice Telephone | 7084783111 |
| Practice Fax Number | 7084791146 |
| Mailing Telephone | 6303035380 |
| Mailing Fax Number | 9783136824 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2014-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 147000563 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164941613 | Tracey Ingram | Counselor | 105 Loudon Rd Bldg 3, Concord, NH 03301-5600 | 2017-09-15 |
| Street Address |
18210 LA GRANGE RD STE 103 |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60487-7722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319111 | Gene Denning | Pediatrics | 18210 La Grange Rd, Suite 205, Tinley Park, IL 60477-7722 | 2005-07-12 |
| 1407476096 | Kristin Butkus | Nurse Practitioner | 18210 La Grange Rd, Tinley Park, IL 60487-7722 | 2020-04-23 |
| 1245703354 | Shawntell Jackson | Nurse Practitioner | 18210 La Grange Rd, Ste 209, Tinley Park, IL 60487-7728 | 2019-01-10 |
| 1609343763 | Denise Castle | Clinic/Center | 18210 La Grange Rd, Tinley Park, IL 60487-7722 | 2018-10-26 |
| 1538577937 | Connect Hearing, Inc. | Audiologist | 18210 La Grange Rd, Ste. 103, Tinley Park, IL 60487-7722 | 2014-07-29 |
| 1043659071 | Sonia K Virparia | Family Medicine | 18210 La Grange Rd, Suite 200, Tinley Park, IL 60487-7722 | 2013-06-24 |
| 1194071076 | Rachel A Lucas | Physical Therapist | 18210 La Grange Rd, Suite 100, Tinley Park, IL 60487-7722 | 2012-07-30 |
| 1740511328 | Lisa A Daigler | Physical Therapist | 18210 La Grange Rd, Tinley Park, IL 60487-7722 | 2010-01-21 |
| 1396916409 | Southtown Allergy and Asthma Care, PC | Clinic/Center | 18210 La Grange Rd, Suite 201, Tinley Park, IL 60487-7722 | 2008-03-17 |
| 1073798617 | Olatokunbo Oluwatoyin Kolawole | Family Medicine | 18210 La Grange Rd, 200, Tinley Park, IL 60487-7722 | 2008-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850492 | Essential Counseling Group LLC | Social Worker | 17550 W Quail Trail, Tinley Park, IL 60487 | 2020-08-04 |
| 1457972705 | Michelle E Estand | Speech-Language Pathologist | 8200 185th, Tinley Park, Il 60487, Suite A/b, Suite A/b, Suite A/b, Tinley Park, IL 60487 | 2020-04-28 |
| 1659839108 | Jasmine Mccloskey | Behavioral Analyst | Cards, 8505 183rd Suite D, IL 60487 | 2019-03-04 |
| 1669951158 | Christine Marie Cavanaugh | Developmental Therapist | 8384 Dunmore Dr, Tinley Park, IL 60487 | 2018-08-07 |
| 1851810998 | Jeffrey Beck | Counselor | 16243 Haven Ave., Orland Hills, IL 60487 | 2017-09-09 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1780016162 | Kristin Ann Strausbaugh | Nurse Practitioner | 7300 191st Street, Tinley Park, IL 60487 | 2013-08-07 |
| 1679855597 | Florence Delavega | Pharmacist | 9151 Mansfield Dr, Tinley Park, IL 60487 | 2011-09-16 |
| 1912285685 | Michelle Vansetten | Behavioral Analyst | 8200 W. 185th Street, Suite A/b, Tinley Park, IL 60487 | 2011-07-29 |
| 1417283938 | Haley Ranae Goulson | Physician Assistant | 17495 South Lagrange Road, Tinley Park, IL 60487 | 2009-10-19 |
| Find all providers in zip 60487 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003053869 | Mary Lou Dovantzis | Audiologist | 18012 Cardinal Ln, Tinley Park, IL 60487-9524 | 2009-01-15 |
| 1538577937 | Connect Hearing, Inc. | Audiologist | 18210 La Grange Rd, Ste. 103, Tinley Park, IL 60487-7722 | 2014-07-29 |
| 1700021631 | Ann M. Goff | Audiologist | 16532 Oak Park Ave, Ste 202, Tinley Park, IL 60477-1918 | 2008-12-05 |
| 1912189820 | Amy Lauren Jackson | Audiologist | 18210 La Grange Rd, Suite 103, Tinley Park, IL 60487-7722 | 2007-12-03 |
| 1356350953 | Victoria Oreilly | Audiologist | 17125 Harlem Ave, Tinley Park, IL 60477-3369 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585724 | Leeann Cropsey | Audiologist | 1710 N Randall Rd Ste 210, Elgin, IL 60123-7904 | 2020-10-12 |
| 1720605298 | Lauren Wingard | Audiologist | 404 N Galena Ave Ste 120, Dixon, IL 61021-2179 | 2020-07-01 |
| 1265058135 | Jennifer Hwang | Audiologist | 750 Fletcher Dr Ste 100, Elgin, IL 60123-4703 | 2020-06-17 |
| 1831718618 | Naperville Hearing Services Pllc | Audiologist | 10 Martin Ave Ste 260, Naperville, IL 60540-6547 | 2020-04-13 |
| 1548890098 | Rachel Sarai Barr | Audiologist | 4440 W 95th St Rm 1339h, Oak Lawn, IL 60453-2600 | 2020-01-23 |
| 1730719337 | Juan Elias Vasquez | Audiologist | 920 W Cullom Ave Ph Unit, Chicago, IL 60613-1632 | 2020-01-22 |
| 1144866351 | Jamie Herskovitz | Audiologist | 5758 S Maryland Ave Rm 4754, Chicago, IL 60637-1426 | 2019-11-22 |
| 1437794005 | Maureen Louise Virts | Audiologist | 5857 S Maryland Ave, Chicago, IL 60637-1463 | 2019-11-07 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1144864042 | Jacqueline Rose Kjolhede | Audiologist | 800 Biesterfield Rd Ste 401, Elk Grove Village, IL 60007-3378 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
| City | TINLEY PARK |
| Zip Code | 60487 |
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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.