Doctor profile · Federal record
Dr. Tracie Clisby
Family Nurse Practitioner (CMS: Nurse Practitioner) · Family Nurse Practitioner · Chicago, IL
- NPI 1942574769
- Accepts Medicare
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
5841 S Maryland Ave
Chicago, IL 606371443
(888) 824-0200 - Additional location
-
433 W Harrison St Ste 5367
Chicago, IL 606993916
(773) 340-1307
fax (773) 232-8195 - Mailing address
-
Po Box 5367
Chicago, IL 606805367
Credentials & registration
- NPI registered
- February 2012 — 14 yrs on file
- Profile last updated
- March 11, 2024
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State licenses (2)
- Illinois #277.002085 · Illinois #277002085
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1942574769. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$325
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 2 | $325.00 |
By nature of payment
Frequently asked questions
What is Dr. Tracie Clisby's medical specialty?
Dr. Tracie Clisby practices Family Nurse Practitioner in Chicago, IL.
Where does Dr. Tracie Clisby practice?
Dr. Tracie Clisby practices at 5841 S Maryland Ave, Chicago, IL 606371443. Office phone: 8888240200.
What is Dr. Tracie Clisby's NPI?
Dr. Tracie Clisby's National Provider Identifier (NPI) is 1942574769, issued by NPPES.
Does Dr. Tracie Clisby accept Medicare assignment?
Yes. Dr. Tracie Clisby accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.