Ms Tracey Ann Odishoo, CNP | |
3701 Doty Rd, Woodstock, IL 60098 | |
(815) 338-6600 | |
(815) 206-1086 |
Full Name | Ms Tracey Ann Odishoo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | 3701 Doty Rd, Woodstock, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942209622 | NPI | - | NPPES |
209003621 | Other | IL | STATE LICENSE |
962341 | Other | IL | MEDICARE GROUP PTAN |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Dupage Physician Group | 5890696231 | 1003 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Ms Tracey Ann Odishoo, CNP 3701 Doty Rd, Woodstock, IL 60098-7509 Ph: (815) 338-6600 | Ms Tracey Ann Odishoo, CNP 3701 Doty Rd, Woodstock, IL 60098 Ph: (815) 338-6600 |
Emily Kampas, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3701 Doty Rd, Woodstock, IL 60098 Phone: 815-334-5018 Fax: 815-334-3185 | |
Sarah A Pearson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3701 Doty Rd, Woodstock, IL 60098 Phone: 815-206-3400 | |
Katlyn Koskotas, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 Lake Ave, Woodstock, IL 60098 Phone: 815-337-7100 | |
Angela K Astleford, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3701 Doty Rd, Woodstock, IL 60098 Phone: 815-338-6600 Fax: 815-206-5376 | |
Shelly A Bauer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3707 Doty Rd Ste G, Woodstock, IL 60098 Phone: 815-338-6600 Fax: 815-206-2822 | |
Joanna Hansen, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3707 Doty Rd Ste G, Woodstock, IL 60098 Phone: 815-334-5018 Fax: 815-206-2822 | |
Roseann Cecilina Iverson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Lake Ave, Woodstock, IL 60098 Phone: 815-337-7100 Fax: 815-337-4793 |