Search › Illinois › 363L00000X
Tracey Odishoo, C.N.P
NPI 1942209622 · on the registry since 2005
Practice
- Address
- 3701 Doty Rd
Woodstock, IL 60098 - Phone
- (815) 338-6600
- Fax
- (815) 206-1086
- Organisation at this address
- Memorial Medical Center
Memorial Medical Center
Town Square Anesthesia Llc
Northern Illinois Medical Center
Northern Illinois Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 47
Additional practice sites
- 360 Station Dr, Crystal Lake, IL
- 10350 Haligus Rd Ste 200, Huntley, IL
- 10400 Haligus Rd, Huntley, IL
- 4201 W Medical Center Dr, Mchenry, IL
- 3707 Doty Rd Ste D, Woodstock, IL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363L00000X
363LF0000X
Psychiatric/Mental Health Nurse Practitioner - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois