Healthcare Provider Details

I. General information

NPI: 1023932423
Provider Name (Legal Business Name): TRACI M FERTEL, MSW, LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 S WEBSTER ST STE 250
NAPERVILLE IL
60540-4560
US

IV. Provider business mailing address

2045 CAMBRIA CT
NORTHBROOK IL
60062-7158
US

V. Phone/Fax

Practice location:
  • Phone: 847-361-3378
  • Fax:
Mailing address:
  • Phone: 847-361-3378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TRACI M FERTEL
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 847-361-3378