TRACY ANEZIRIS (NPI# 1912518143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912518143 |
| Entity Type | Individual |
| Full Name | TRACY ANEZIRIS |
| Credential | PSY.D. |
| Practice Address |
455 S Roselle Rd Schaumburg IL 60193-2971 |
| Mailing Address |
312 Natwick Ln Schaumburg IL 60193-1044 |
| Practice Telephone | 8477309394 |
| Mailing Telephone | 8477309394 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071010329 | IL | Behavioral Health & Social Service Providers |
| Street Address |
455 S ROSELLE RD |
| City | SCHAUMBURG |
| State | IL |
| Zip Code | 60193-2971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669455549 | Carey B Dachman Mdsc | Internal Medicine | 455 S Roselle Rd, #104, Schaumburg, IL 60193-2971 | 2005-11-23 |
| 1518317320 | Northwest Suburban Pediatrics, S.c. | Pediatrics | 455 S Roselle Rd, Suite 209, Schaumburg, IL 60193-2971 | 2016-06-13 |
| 1831545995 | Subin M Jacob-george | Physician Assistant | 455 S Roselle Rd, 104, Schaumburg, IL 60193-2971 | 2016-05-09 |
| 1245584531 | Integrated Pain Therapy and Wellness Ltd | Physical Medicine & Rehabilitation | 455 S Roselle Rd, #104, Schaumburg, IL 60193-2971 | 2012-11-08 |
| 1720332455 | Andersontiernan, Inc | Non-Pharmacy Dispensing Site | 455 S Roselle Rd, Suite 100, Schaumburg, IL 60193-2971 | 2012-11-02 |
| 1447547211 | Northshore Integrative Healthcare | Psychologist | 455 S Roselle Rd, Suite 104, Schaumburg, IL 60193-2971 | 2011-06-30 |
| 1992091219 | Andersontiernan Inc | Podiatrist | 455 S Roselle Rd, Suite 100, Schaumburg, IL 60193-2971 | 2011-06-24 |
| 1194024984 | Wajde Dabah | Anesthesiology | 455 S Roselle Rd, Suite 104, Schaumburg, IL 60193-2919 | 2011-03-20 |
| 1255669297 | Rana Dabah Amer | Physician Assistant | 455 S Roselle Rd, Ste 104, Schaumburg, IL 60193-2971 | 2009-12-03 |
| 1518104116 | Amy Alicia Yehoshua | Acupuncturist | 455 S Roselle Rd, Suite 104, Schaumburg, IL 60193-2971 | 2009-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546203 | Golden Corridor Family Young Men's Christian Association | Health Educator | 300 W Wise Road, Schaumburg, IL 60193 | 2018-01-12 |
| 1821516469 | Jill Leann Kissinger | Nurse Practitioner | 1227 Cranbrook Dr, Schaumburg, IL 60193 | 2017-09-05 |
| 1265981021 | Fresenius Medical Care Schaumburg, LLC | Clinic/Center | 815 W Wise Rd, Schaumburg, IL 60193 | 2016-09-22 |
| 1316323157 | Jasmine Said | Optometrist | 2834 Adams Ct., Schaumburg, IL 60193 | 2015-08-04 |
| 1215368287 | Daryl B. Wever Corp | Podiatrist | 455 S Roselle Rd Ste 101, Schaumburg, IL 60193 | 2013-12-02 |
| 1164764668 | Pediatric Healthlink, S.c. | Pediatrics | 455 S. Roselle Road, Suite 109, Schaumburg, IL 60193 | 2013-03-22 |
| 1407154602 | Physician Office | Internal Medicine | 321 South Barrington Road, Schaumburg, IL 60193 | 2011-03-11 |
| 1154552016 | Crystal Clear Eye Care Clinic | Preferred Provider Organization | 1760 Wise, Schaumberg, IL 60193 | 2009-07-27 |
| 1437304458 | Frank J. Honig | Dentist | 129 S. Roselle Rd., 201, Schaumburg, IL 60193 | 2008-11-18 |
| 1902059017 | Today's Family Dentistry | Dentist | 1752 W. Wise Rd., Schaunburg, IL 60193 | 2008-11-03 |
| Find all providers in zip 60193 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214474 | New Leaf Counseling and Wellness, LLC | Psychologist | 1305 Remington Rd Ste T, Schaumburg, IL 60173-4820 | 2020-08-09 |
| 1821562588 | Pathways Counseling P C. | Psychologist | 937 N. Plum Grove Rd., Suite D, Schaumburg, IL 60173 | 2019-01-16 |
| 1437630811 | Psychology Center Schaumburg, Ltd. | Psychologist | 1051 Perimeter Dr Ste 512, Schaumburg, IL 60173-5833 | 2018-08-23 |
| 1952781189 | Riismaa Psychological Services, Inc. | Psychologist | 1325 Remington Road, Suite R, Schaumburg, IL 60173 | 2015-06-03 |
| 1396160669 | Valerie Lucas | Psychologist | 2030 E Algonquin Rd Ste 401, Schaumburg, IL 60173-4159 | 2014-02-24 |
| 1184990160 | Midwest Behavioral Risk Management, P.C. | Psychologist | 869 E Schaumburg Rd, Suite 252, Schaumburg, IL 60194-3654 | 2012-03-24 |
| 1841437696 | Jane A Braun LLC | Psychologist | 800 E Woodfield Rd Ste 103, Schaumburg, IL 60173-4718 | 2009-01-15 |
| 1003095993 | Beth I Wilner | Psychologist | 999 N Plaza Dr Ste 300, Schaumburg, IL 60173-5405 | 2007-10-29 |
| 1013091016 | Marlene Brusko | Psychologist | 814 Beacon Dr, Schaumburg, IL 60193-3834 | 2006-10-25 |
| 1336222454 | Martha Sue Stamper | Psychologist | 1340 Remington Rd Ste T, Schaumburg, IL 60173-4821 | 2006-10-23 |
| Find all providers in SCHAUMBURG | ||||
| City | SCHAUMBURG |
| Zip Code | 60193 |
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| 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.