Tracey Ann Odishoo in Woodstock - Nurse Practitioner
Tracey Ann Odishoo - NPI 1942209622
Tracey Ann Odishoo is a Nurse Practitioner in Woodstock, Illinois. Tracey Ann Odishoo practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tracey Ann Odishoo is 1942209622. The last update date is 2022-12-28.
Tracey Ann Odishoo's current location address is 3701 Doty Rd, Woodstock, Illinois. You can contact this provider via phone number 8153386600 and fax number 8152061086. The mailing address for Tracey Ann Odishoo is 3701 Doty Rd, Woodstock, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Ann Odishoo |
|---|---|
| Address | 3701 Doty Rd, Woodstock, Illinois |
| Phone Number | 8153386600 |
| Fax Number | 8152061086 |
| Sole Proprietor | N |
| Credentials | C.N.P. |
NPI Number Detail
| NPI Number | 1942209622 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2022-12-28 |
Provider Mailing Address Detail
| Address | 3701 Doty Rd |
|---|---|
| City | Woodstock |
| State | Illinois (IL) |
| Post Code | 600987509 |
| Phone Number | 8153386600 |
| Fax Number | 8152061086 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209003621 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209003621 | IL | STATE LICENSE | |
| 962341 | IL | MEDICARE GROUP PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tracey Ann Odishoo?
The Tracey Ann Odishoo has been issued the NPI (National Provider Identifier) 1942209622 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Tracey Ann Odishoo's physical address?
The Tracey Ann Odishoo is physically located at 3701 Doty Rd, in the city of Woodstock, IL, with the postal code 600987509.
What is the area of specialization for Tracey Ann Odishoo, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tracey Ann Odishoo is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date was the 1942209622 assigned to Tracey Ann Odishoo?
The Tracey Ann Odishoo was issued its 1942209622 on 2005-07-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tracey Ann Odishoo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tracey Ann Odishoo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-12-28.