Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306336144 Individual Practitioner Female Practitioner

Tracey Blanchard

Licensed Practical Nurse • Crystal Lake, IL

Professional Overview & Biography Verified Profile Summary

Tracey Blanchard is a registered healthcare professional specializing in Licensed Practical Nurse in Crystal Lake, IL. Practice services are available at 5911 NORTHWEST HWY STE 207 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5911 Northwest Hwy Ste 207

Crystal Lake, IL 600148043

Telephone 8155263781
Associated Practice Facility / Clinic
🏢 Main St. Psychiatry, S.c. Facility NPI 1346756491

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Crystal Lake, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Crystal Lake, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043118421

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licensed Practical Nurse
043118421 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Tiesha Panek , PMHNP-BC

Psychiatry & Neurology - Psychiatry

NPI 1477250595

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Gail Hellebuyck

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1982193181

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2018

Registered at 5911 NORTHWEST HWY STE 207, CRYSTAL LAKE, IL 600148043 (Tel: 8155263781)

📍
Updated Business Mailing Address May 17, 2018

Registered at 5911 NORTHWEST HWY STE 207, CRYSTAL LAKE, IL 600148043 (Tel: 8155263781)

👤
Provider Name / Credentials Updated May 17, 2018

Recorded as TRACEY BLANCHARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2018

Licensed Practical Nurse (License #043118421 in IL)

🟢
Initial NPI Registration & Enumeration May 17, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306336144
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2018
Last Update: May 17, 2018
Sole Proprietor: No

Mailing Address

5911 Northwest Hwy Ste 207

Crystal Lake, IL 600148043

Phone: 8155263781

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.