Individual provider · Type 1 NPI

Dehedgra Idowu, AGPCNP-BC

Gerontology Nurse Practitioner · Oak Park, IL

NPI number 1609054881 Active

Practice location

18 Chicago Ave
Oak Park, IL 60302-2402

Fax (773) 437-6780

Mailing address

213 N Racine Ave
Chicago, IL 60607-1644

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN562570 (PA)
Gerontology Nurse Practitioner Primary 363LG0600X209012233 (IL)
Medical-Surgical Registered Nurse 163WM0705X041424181 (IL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1609054881

Dehedgra Idowu, AGPCNP-BC's National Provider Identifier is 1609054881, issued on Feb 9, 2008. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Oak Park, IL. The record was last updated on Oct 15, 2015.