Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tracy C Fuller, PA-C

Individual provider Physician Assistant · NPI 1386994408

Mrs. Tracy C Fuller, PA-C is a Physician Assistant in Evanston, Illinois. Qualified in 2012, 14 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2650 Ridge Ave Emergency Department: Physician Assistants
Evanston, IL 60201-1718
Phone: (847) 570-1353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.004406 (IL)

Record details

NPI number1386994408
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2012
Last updated in NPPESMarch 23, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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