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

Tracy J Larsen, REGISTEREDPHARMACIS

Individual provider Geriatric Pharmacist · NPI 1598386716

Tracy J Larsen, REGISTEREDPHARMACIS is a Geriatric Pharmacist in Crestwood, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

13601 Kenton Ave
Crestwood, IL 60418-1938
Phone: (708) 758-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051039230 (IL)
Geriatric Pharmacist Taxonomy 1835G0303X · Licence 051039230 (IL)

Record details

NPI number1598386716
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDPHARMACIS
Sole proprietorNo
NPI enumeratedApril 28, 2020
Last updated in NPPESApril 28, 2020
Certification dateApril 28, 2020

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