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Contact Information

TRACY SHEPHERD
18 E MEADOW CREEK LN
LYNN CENTER, IL61262-9702
 Phone: 309-236-2401
 Fax: 309-236-2401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TRACY SHEPHERD · (Female)

NPI # 1225980246
Status Active
Credentials
Entity Individual
Enumeration date 02/11/2026
Last updated 02/11/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 056003825
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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