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TRACY DOUGLAS
NPI 1053822072
Case Manager/Care Coordinator in Flossmoor, IL

Active since October 17, 2017
19530 KEDZIE AVE, FLOSSMOOR, IL 60422(708) 799-2200 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy Douglas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY DOUGLAS (NPI 1053822072) is an individual case manager/care coordinator provider in Flossmoor, Illinois and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1053822072
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameTRACY DOUGLAS
Location Address19530 KEDZIE AVEFlossmoor, IL 60422-1778
Mailing Address17746 Oak Park AveTinley Park, IL 60477-3936
Phone(708) 799-2200
Sole ProprietorNo
Enumeration DateOctober 17, 2017
✔ NPI 1053822072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

19530 KEDZIE AVE, Flossmoor, IL 60422
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR P FULLER
Behavior Analyst
19530 KEDZIE AVE
FLOSSMOOR, IL 60422
Cook County (708) 754-8815
JUANITA JENKINS
Counselor (Mental Health)
19530 KEDZIE AVE
FLOSSMOOR, IL 60422
Cook County (708) 799-2200
LINDSEY BEHAM
Case Manager/Care Coordinator
19530 KEDZIE AVE
FLOSSMOOR, IL 60422
Cook County (708) 799-2200
CHASITY RICKER
Counselor (Mental Health)
19530 KEDZIE AVE
FLOSSMOOR, IL 60422
Cook County (708) 799-2200
ALESHIA VARNADO
Behavior Analyst
19530 KEDZIE AVE
FLOSSMOOR, IL 60422
Cook County (708) 799-2200
JESSICA MOODY
Behavior Analyst
19530 KEDZIE AVE
FLOSSMOOR, IL 60422
Cook County (708) 754-8815
MELINDA A COLLINS
Behavior Analyst
19530 KEDZIE AVE
FLOSSMOOR, IL 60422
Cook County (708) 799-2200
EQUALLA AGEE
Behavior Analyst
19530 KEDZIE AVE
FLOSSMOOR, IL 60422
Cook County (708) 754-8815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Douglas's NPI number?

The NPI number for Tracy Douglas is 1053822072. It was assigned to this individual provider in the NPPES registry on October 17, 2017.

Where is Tracy Douglas located?

Tracy Douglas practices at 19530 Kedzie Ave, Flossmoor, IL 60422. The listed phone number is (708) 799-2200.

What is Tracy Douglas's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Tracy Douglas was last updated on October 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.