Individual provider · NPI-1

Traci Aaron, PA-C

Physician Assistant, Medical · Chicago, IL

NPI number1174510200
StatusActive
Last updated in NPPESFeb 20, 2025

Details

NPI
1174510200
Entity type
Individual (NPI-1)
Name
Ms. Traci Aaron
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 4, 2005
Certification date
Feb 20, 2025
Last updated
Feb 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical085-001709ILYes
363A00000X Physician Assistant10004736AIN

Practice location

1501 S California Ave
Chicago, IL 60608-1732

Phone 773-257-6843

Mailing address

3537 Paysphere Cir
Chicago, IL 60674-0035

Phone 708-786-2900

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