Provider Demographics
NPI:1760161855
Name:O'RORKE, TRACY JOSEPH (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:JOSEPH
Last Name:O'RORKE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5752 WALNUT AVE APT 2C
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-6004
Mailing Address - Country:US
Mailing Address - Phone:331-666-2395
Mailing Address - Fax:
Practice Address - Street 1:1225 S NAPER BLVD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-8300
Practice Address - Country:US
Practice Address - Phone:630-961-3210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051305614183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist