Healthcare Provider Details

I. General information

NPI: 1801754569
Provider Name (Legal Business Name): TRACEY A. PAPESH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16W285 83RD ST UNIT A
BURR RIDGE IL
60527-5873
US

IV. Provider business mailing address

16W285 83RD ST UNIT A
BURR RIDGE IL
60527-5873
US

V. Phone/Fax

Practice location:
  • Phone: 630-366-9966
  • Fax: 630-358-6893
Mailing address:
  • Phone: 630-366-9966
  • Fax: 630-358-6893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number149.030616
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: