| Tracy A Abraham, | |
|
1220 S Wood St, Chicago, IL 60608-1202 | |
| (312) 996-2000 | |
| (312) 413-2026 |
| Full Name | Tracy A Abraham |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1220 S Wood St, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023191269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209002961 (Illinois) | Primary |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154541936 PECOS PAC ID: 3072422716 Enrollment ID: O20031201000021 |
| Entity Name | Erie Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy A Abraham, 1740 W Taylor St, Chicago, IL 60612-7232 Ph: (312) 413-7686 | Tracy A Abraham, 1220 S Wood St, Chicago, IL 60608-1202 Ph: (312) 996-2000 |
Kaelyn Carroll, RN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 966 W 21st St, Chicago, IL 60608 Phone: 773-254-1400 | |
Jacqueline S Ma, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 966 W 21st St, Chicago, IL 60608 Phone: 773-254-1400 Fax: 312-829-6375 | |
Christina Volkening, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000 | |
Mallory Marie Klocke, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 17 N State St Ste 500, Chicago, IL 60602 Phone: 712-210-2717 | |
Rebecca Etrenne, APN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 219 W Chicago Ave, Chicago, IL 60654 Phone: 312-878-1945 | |
Ms. Alyssa Suzanne Mull, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1701 W Superior Street, Erie Family Health Center, Chicago, IL 60622 Phone: 312-666-3494 |