Provider Demographics
NPI:1386479210
Name:HODO, SCYLER PATRICEE (NP)
Entity type:Individual
Prefix:
First Name:SCYLER
Middle Name:PATRICEE
Last Name:HODO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SCYLER
Other - Middle Name:PATRICEE
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1763 FREEDOM DR STE 117
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3553
Mailing Address - Country:US
Mailing Address - Phone:630-687-9595
Mailing Address - Fax:
Practice Address - Street 1:1763 FREEDOM DR STE 117
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3553
Practice Address - Country:US
Practice Address - Phone:630-687-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.030306364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health