DR. TRACY BISTERFELDT


Address: 53 W. Jackson Blvd., Unit 635, Chicago, IL 60604
Phone: 4143792959

DR. TRACY BISTERFELDT (NPI# 1700162583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700162583
Entity Type Individual
Full Name DR. TRACY BISTERFELDT
Other Name DR. TRACY M SCHAFER
Credential PSY.D.
Practice Address 53 W. Jackson Blvd.
Unit 635
Chicago
IL 60604
Mailing Address 934 N. Grove Ave.
Oak Park
IL 60302
Practice Telephone 4143792959
Mailing Telephone 4143792959
Enumeration Date 2011-10-25
Last Update Date 2019-10-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
071.008187 IL Behavioral Health & Social Service Providers

Office Location

Street Address 53 W. JACKSON BLVD.
UNIT 635
City CHICAGO
State IL
Zip Code 60604

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1548634843 Catherine Ranieri Counselor 53 W Jackson Blvd Ste 1625, Chicago, IL 60604 2015-11-24
1356710701 Otis Peeples Counselor 134 N Lasalle Suite 400, Chicago, IL 60604 2015-09-16
1124495916 Te You Moore Counselor 53 W Jackson Blvd Ste 1360, Chicago, IL 60604 2015-08-27
1992187686 Kathryn Weaver Psychiatry & Neurology 343 South Dearborn Street Apt # 304, Chicago, IL 60604 2015-06-18
1619201084 Jennifer Gurski Social Worker 53 W. Jackson Blvd, Chicago, IL 60604 2009-10-01
1578736252 Richard A Reschke Naprapath 141 W. Jackson Boulevard, Suite 2170, Chicago, IL 60604 2008-04-02
1609085414 Patrick Jean Hen Pierre Dentist 200 S. Michigan Ave, Suite 1400, Chicago, IL 60604 2007-05-21
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1184223364 Caroline Elisabeth Fulton Psychologist 1739 N Elston Ave, Chicago, IL 60642-1544 2020-10-20
1881293108 Haley Michelle Sims Psychologist 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 2020-10-19
1285231936 Qianhui Zhang Psychologist 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 2020-10-06
1316544158 Nancy Marie Picard Psychologist 4885 N Hermitage Ave, Chicago, IL 60640-4104 2020-10-05
1730792151 Jenny Marie Wamsat Psychologist 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 2020-08-25
1497365910 Sara Sirota Psychologist 5443 N Broadway St # 2s, Chicago, IL 60640-1703 2020-08-10
1053920512 Alyse Renae Bedell Psychologist 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 2020-07-30
1699392688 Hongying Chen Psychologist 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 2020-06-25
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Competitor

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City CHICAGO
Zip Code 60604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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