MRS. DEHEDGRA IDOWU AGPCNP-BC NPI 1609054881

NPI Information

  • NPI: 1609054881
  • Provider Name: MRS. DEHEDGRA IDOWU, AGPCNP-BC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18 CHICAGO AVE
    OAK PARK, IL
    ZIP 60302
  • Phone: (773) 253-3933

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NPI Details

MRS. Dehedgra Idowu, AGPCNP-BC is a gerontology nurse practitioner in Oak Park, IL. MRS. Dehedgra Idowu, AGPCNP-BC NPI is 1609054881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18 CHICAGO AVE
OAK PARK, IL
ZIP 60302-402
Phone: (773) 253-3933
Fax: (773) 437-6780

The NPI 1609054881 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/9/2008 and was last updated on 10/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN562570PENNSYLVANIANo
2163WM0705XRegistered NurseMedical-Surgical041424181ILLINOISNo
3363LG0600XNurse PractitionerGerontology209012233ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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