Individual provider · Type 1 NPI
Tracy Manning
General Practice Registered Nurse · Wadsworth, IL
NPI number
1366352270
Active
Practice location
41390 N Blackhawk Trl
Wadsworth, IL 60083-9421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 041308468 (IL) |
General Practice Registered Nurse: Definition to come...
About NPI 1366352270
Tracy Manning's National Provider Identifier is 1366352270, issued on Sep 11, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Wadsworth, IL. The record was last updated on Sep 11, 2026.