Tracy Lynn Tilton
Health Service Clinical Psychologist
65 E Wacker Pl 2240
Chicago
, Illinois 60601-7296
Tracy Lynn Tilton
Health Service Clinical Psychologist
65 E Wacker Pl 2240
Chicago
, Illinois 60601-7296
(312) 213-4660
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About
Features
Specialties
- Clinical Psychologist
- Health Service
Languages spoken
- English
Location
First Address
- Tracy Lynn Tilton
- 858 N Franklin St Apt 501
- Chicago, IL
- Zip : 60610-3177
- Phone : (312) 213-4660
Second Address
- Tracy Lynn Tilton
- 65 E Wacker Pl 2240
- Chicago, IL
- Zip : 60601-7296
- Phone : (312) 621-9002
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 071007798 | IL |
| N | 103TC0700X | Clinical Psychologist | 071007798 | IL |
| Y | 103TH0100X | Health Service |
National Provider Identifier
| NPI | 1053516724 |
|---|---|
| Provider Name | Tracy Lynn Tilton |
| First Address | Chicago, IL 60610-3177 |
| Second Address | Chicago, IL 60601-7296 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2007 |
| Last Update Date | 21/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.