Individual provider · Type 1 NPI

Tracy E. Mallory, PA-C

Physician Assistant · Orland Park, IL

NPI number 1083281653 Active

Practice location

15300 West Ave Ste 100A
Orland Park, IL 60462-4600

Fax (708) 226-2319

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	085.008358 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083281653

Tracy E. Mallory, PA-C's National Provider Identifier is 1083281653, issued on Jun 10, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Orland Park, IL. The record was last updated on Sep 22, 2025.