Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tracie E Clisby

Individual provider Family Nurse Practitioner · NPI 1942574769

Dr. Tracie E Clisby is a Nurse Practitioner in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with University of Chicago, a 1,681-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (888) 824-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 433 W Harrison St Ste 5367, Chicago, IL 60699-3916 — (773) 340-1307

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277.002085 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 277002085 (IL)

Record details

NPI number1942574769
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 24, 2012
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Of Chicago — 1681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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