Tracey W Childers (NPI# 1053371021, PAC ID# 3375592553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1053371021 |
| PAC ID by PECOS | 3375592553 |
| Professional Enrollment ID | I20190424001367 |
| Full Name | Tracey W Childers |
| Organization Legal Name | OSF MULTI-SPECIALTY GROUP |
| Address |
1050 E Norris Dr Ottawa IL 61350-1605 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 1994 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3678889789 |
| Number of Group Practice Members | 1214 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| Address | Phone | Organization |
|---|---|---|
| 1050 E Norris Dr, Ottawa, IL 61350-1605 | OSF MULTI-SPECIALTY GROUP | |
| 8600 State Route 91 130, Peoria, IL 61615-7829 | 3096835050 | OSF MULTI-SPECIALTY GROUP |
| Organization Legal Name | OSF MULTI-SPECIALTY GROUP |
| Physicians | 1301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin R Moody | Physician Assistant | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Christina S Chen Milhone | Pediatric Medicine | Osf Multi-specialty Group | 2806 N Knoxville Ave, Peoria, IL 61604-2870 |
| Katelyn J Stites | Nurse Practitioner | Osf Multi-specialty Group | 106 S 1st St, Fairbury, IL 61739-1509 |
| Andrea M Shewalter | Nurse Practitioner | Osf Multi-specialty Group | 535 Roxbury Rd, Rockford, IL 61107-5076 |
| Kathleen M Hendricks | Nurse Practitioner | Osf Multi-specialty Group | 2809 W Willow Knolls Dr, Peoria, IL 61614-8517 |
| Carrie B Finley | Nurse Practitioner | Osf Multi-specialty Group | 1209 Starfire Dr, Suite 2, Ottawa, IL 61350-1688 |
| Laine E Burek | Nurse Practitioner | Osf Multi-specialty Group | 1765 Bradford Ln, Normal, IL 61761-1296 |
| James C Plasky | Nurse Practitioner | Osf Multi-specialty Group | 6830 Villagreen Vw, Rockford, IL 61107-5639 |
| Jubilee C Phan | Urology | Osf Multi-specialty Group | 1001 Main St, Suite 400, Peoria, IL 61606-2036 |
| Sara K Rosenbery | Nurse Practitioner | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| Street Address |
1050 E NORRIS DR |
| City | OTTAWA |
| State | IL |
| Zip | 61350-1605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M. Lome | Cardiovascular Disease (cardiology) | Osf Multi-specialty Group | 1050 E Norris Dr, 2c Heartcare Midwest, Ottawa, IL 61350-1611 |
| David Gerald Thompson | Cardiovascular Disease (cardiology) | Osf Multi-specialty Group | 1050 E Norris Dr, 2c Heartcare Midwest, Ottawa, IL 61350-1611 |
| Amit B Jamnadas | Nephrology | Renalcare Associates, S.c. | 1050 E Norris Dr, Suite 2c, Ottawa, IL 61350-1611 |
| Traci L Keyster | Nurse Practitioner | Osf Multi-specialty Group | 1050 E Norris Dr, 2c Heartcare Midwest, Ottawa, IL 61350-1611 |
| Marco A Barzallo | Interventional Cardiology | Osf Multi-specialty Group | 1050 E Norris Dr, 2c Heartcare Midwest, Ottawa, IL 61350-1611 |
| Steven R Daube | Obstetrics/gynecology | Osf Multi-specialty Group | 1050 E Norris Dr, Ent Audiology, Ottawa, IL 61350-1605 |
| Usman A Khan | Nephrology | Renalcare Associates, S.c. | 1050 E Norris Dr, Suite 2c, Ottawa, IL 61350-1611 |
| Merrick J. Donenberg | Cardiovascular Disease (cardiology) | Osf Multi-specialty Group | 1050 E Norris Dr, 3a Il Neurological Inst, Ottawa, IL 61350-1605 |
| Anna M Taravella | Qualified Audiologist | Osf Multi-specialty Group | 1050 E Norris Dr, Ent Audiology, Ottawa, IL 61350-1605 |
| Kate E Jaegle | Nurse Practitioner | Osf Multi-specialty Group | 1050 E Norris Dr, 3a Ottawa Orthopedics, Ottawa, IL 61350-1605 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy A Aubry | Clinical Social Worker | Crossroads Counseling Services, LLC | 601 W Norris Dr, Suite B, Ottawa, IL 61350-1308 |
| Craig S Laasch | Psychologist, Clinical | Crossroads Counseling Services, LLC | 601 W Norris Dr, Suite B, Ottawa, IL 61350-1308 |
| Erik John Fossen | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Jeffrey Alan Crowhurst | Podiatry | 1100 E Norris Dr, Ottawa, IL 61350-1604 | |
| Angela C Nimke | Clinical Social Worker | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Neil N Pandya | Internal Medicine | 24 On Physicians PC | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Susan M Rohr | Clinical Social Worker | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Anthony C Zalduendo | Radiation Oncology | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Daniel R Mueller | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Mohammed Siddiqui | Internal Medicine | 24 On Physicians PC | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Find all physicians in zip 61350 | |||
| City | OTTAWA |
| Zip Code | 61350 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | OTTAWA + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Tracey W Childers.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.