Tracy Shadley (NPI# 1699263731, PAC ID# 5991051658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699263731 |
| PAC ID by PECOS | 5991051658 |
| Professional Enrollment ID | I20180711000089 |
| Full Name | Tracy Shadley |
| Organization Legal Name | CHESTNUT HEALTH OF ILLINOIS LLC |
| Address |
1000 E Brighton Ln Crystal Lake IL 60012-2074 |
| Phone Number | 8154776400 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2264747344 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1000 E Brighton Ln, Crystal Lake, IL 60012-2074 | 8154776400 | CHESTNUT HEALTH OF ILLINOIS LLC |
| 2355 Royal Blvd, Elgin, IL 60123-4716 | 8478889585 | CHESTNUT HEALTH OF ILLINOIS LLC |
| Organization Legal Name | CHESTNUT HEALTH OF ILLINOIS LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil K Patel | Physical Medicine and Rehabilitation | Chestnut Health of Illinois LLC | 1760 Capital St, Elgin, IL 60124-7890 |
| Jennifer K Barham | Nurse Practitioner | Chestnut Health of Illinois LLC | 50 N Jane Dr, Elgin, IL 60123-5118 |
| Gina M Massey | Nurse Practitioner | Chestnut Health of Illinois LLC | 1530 N Randall Rd, Suite 210, Elgin, IL 60123-7879 |
| Anjum Sayyad | Physical Medicine and Rehabilitation | Chestnut Health of Illinois LLC | 24 S Plum Grove Rd, Palatine, IL 60067-6243 |
| Anatoly Rozman | Physical Medicine and Rehabilitation | Chestnut Health of Illinois LLC | 2355 Royal Blvd, Elgin, IL 60123-4716 |
| Merrie L Viscarra | Physical Medicine and Rehabilitation | Chestnut Health of Illinois LLC | 77 N Airlite St, Elgin, IL 60123-4912 |
| Elizabeth Jarrin | Nurse Practitioner | Chestnut Health of Illinois LLC | 77 N Airlite St, Elgin, IL 60123-4912 |
| Sondra L Krahel | Nurse Practitioner | Chestnut Health of Illinois LLC | 77 N Airlite St, Elgin, IL 60123-4912 |
| Daniel Joseph Ritz | Nurse Practitioner | Chestnut Health of Illinois LLC | 50 N Jane Dr, Elgin, IL 60123-5118 |
| Latisha Kanika Anami | Physician Assistant | Chestnut Health of Illinois LLC | 1530 N Randall Rd, Suite 210, Elgin, IL 60123-7879 |
| Street Address |
1000 E BRIGHTON LN |
| City | CRYSTAL LAKE |
| State | IL |
| Zip | 60012-2074 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward B Rusin | Psychologist, Clinical | 7009 Crystal Springs Rd, Crystal Lake, IL 60012-1154 | |
| Linda Bedsole | Clinical Psychologist | Creative Psychology, Ltd. | 3305 Opengate Rd, Crystal Lake, IL 60012-1171 |
| Antonio C Yuk | Neurosurgery | 380 N Terra Cotta Rd, Suite I, Crystal Lake, IL 60012-1809 | |
| Hiralal Goklani Maheshwari | Endocrinology | 380 N Terra Cotta Rd, Suite A, Crystal Lake, IL 60012-1809 | |
| Margaret Miller | Occupational Therapy | Bowes In-home Care, Inc | 965 N Brighton Cir W, Crystal Lake, IL 60012-2036 |
| Lori Conway | Occupational Therapy | Bowes In-home Care, Inc | 965 N Brighton Cir W, Crystal Lake, IL 60012-2036 |
| Laura Ann Strong | Psychologist, Clinical | 8600 Us Hwy 14, Suite 105, Crystal Lake, IL 60012-2700 | |
| John P Terlep | Chiropractic | 8600 Us Hwy 14 140, Crystal Lake, IL 60012-2700 | |
| Gale L Harris | Clinical Social Worker | 8600 Us Route 14, Suite 105, Crystal Lake, IL 60012-2700 | |
| Margaret E Pechota | Clinical Psychologist | 8600 Us Hwy 14, Crystal Lake, IL 60012-2706 | |
| Find all physicians in zip 60012 | |||
| City | CRYSTAL LAKE |
| Zip Code | 60012 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CRYSTAL LAKE + NURSE PRACTITIONER |
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| 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.