Individual provider · Type 1 NPI

Tracey Ogdon, PNP

Pediatric Nurse Practitioner · Oak Lawn, IL

NPI number 1407208101 Active

Practice location

4440 W 95th St
Oak Lawn, IL 60453-2600

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X209-014693 (IL)
Critical Care Pediatric Nurse Practitioner 363LP0222X041382062 (IL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1407208101

Tracey Ogdon, PNP's National Provider Identifier is 1407208101, issued on Jul 6, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oak Lawn, IL. The record was last updated on Dec 29, 2025.