Odishoo, Tracey Ann
Odishoo, Tracey Ann is an individual health care provider with primary practice located at 3701 Doty Rd , Woodstock IL 60098. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Odishoo, Tracey Ann can be contacted via phone (815) 338-6600.Contact Information
Primary practice address
3701 Doty Rd
Woodstock IL 60098
Phone: (815) 338-6600
Fax: (815) 206-1086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209003621 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209003621 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209003621 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 277001103 | Illinois |
Profile Details
| NPI number | 1942209622 |
|---|---|
| LBN Legal business name | Odishoo, Tracey Ann |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Dec 28th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942209622 | NPPES |
| Illinois | Other | 209003621 | STATE LICENSE |
| Illinois | Other | 962341 | STATE LICENSE |
Popular Providers
-
Trocki, Shannon Sunshine
3707 Doty Rd Ste B , Woodstock IL 60098-7530 -
Astleford, Angela K
3701 Doty Rd , Woodstock IL 60098 -
Hansen, Joanna
3707 Doty Rd Ste G , Woodstock IL 60098-7530 -
Ragusa, Maria A
3707 Doty Rd Ste H , Woodstock IL 60098 -
Bauer, Shelly A
3707 Doty Rd Ste G , Woodstock IL 60098 -
Kampas, Emily
3701 Doty Rd , Woodstock IL 60098-7509 -
Pearson, Sarah A
3701 Doty Rd , Woodstock IL 60098-7509 -
Mcdonald, Tracy J.
3707 Doty Rd Ste A , Woodstock IL 60098-7530