Traci A Midnight (NPI# 1528503018, PAC ID# 3375812068) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1528503018 |
| PAC ID by PECOS | 3375812068 |
| Professional Enrollment ID | I20170712002030 |
| Full Name | Traci A Midnight |
| Organization Legal Name | LIFE BALANCE COUNSELING AND WELLNESS INC |
| Address |
2428 Chartres St La Salle IL 61301-1107 |
| Phone Number | 3098301096 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8325397904 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2428 Chartres St, La Salle, IL 61301-1107 | 3098301096 | LIFE BALANCE COUNSELING AND WELLNESS INC |
| Organization Legal Name | LIFE BALANCE COUNSELING AND WELLNESS INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy R Thieme | Clinical Social Worker | Life Balance Counseling and Wellness Inc | 2428 Chartres St, La Salle, IL 61301-1107 |
| Jessica Marie Dergance | Clinical Social Worker | Life Balance Counseling and Wellness Inc | 2428 Chartres St, La Salle, IL 61301-1107 |
| Street Address |
2428 CHARTRES ST |
| City | LA SALLE |
| State | IL |
| Zip | 61301-1107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy R Thieme | Clinical Social Worker | Life Balance Counseling and Wellness Inc | 2428 Chartres St, La Salle, IL 61301-1107 |
| Jessica Marie Dergance | Clinical Social Worker | Life Balance Counseling and Wellness Inc | 2428 Chartres St, La Salle, IL 61301-1107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yesenia Valdez | Family Medicine | Hygienic Institute for Lasalle, Peru and Oglesby | 2970 Chartres St, La Salle, IL 61301-1097 |
| Ronda W Ketner | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
| Noelle T Sliker | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
| Elizabeth M Davis | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
| Liberty K Grzybowski | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
| Maryfrances Crist | Nurse Practitioner | Hygienic Institute for Lasalle, Peru and Oglesby | 2970 Chartres St, La Salle, IL 61301-1097 |
| Jamie Bond | Nurse Practitioner | Hygienic Institute for Lasalle, Peru and Oglesby | 2970 Chartres St, La Salle, IL 61301-1097 |
| Sarah Morscheiser | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 2960 Chartres St, La Salle, IL 61301-1097 |
| David K Kalapp | Chiropractic | 2426 Chartres St, La Salle, IL 61301-1107 | |
| Michael Morrow | Internal Medicine | 1015 Oconor Ave, La Salle, IL 61301-1216 | |
| Find all physicians in zip 61301 | |||
| City | LA SALLE |
| Zip Code | 61301 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LA SALLE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Traci A Midnight.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.