CHARLES OGDON M.D. NPI 1891142642

NPI Information

  • NPI: 1891142642
  • Provider Name: CHARLES OGDON, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3134 N CLARK ST
    CHICAGO, IL
    ZIP 60657
  • Phone: (773) 880-9722

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NPI Details

Charles Ogdon, M.D. is a cardiovascular disease internal medicine in Chicago, IL with 10 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Charles Ogdon, M.D. NPI is 1891142642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:2016

The provider's business location address is:

3134 N CLARK ST
CHICAGO, IL
ZIP 60657-414
Phone: (773) 880-9722
Fax: (312) 766-4917

The NPI 1891142642 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 5/23/2016 and was last updated on 7/28/2025.

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
1207RC0000XInternal MedicineCardiovascular Disease22777WISCONSINNo
2207RC0000XInternal MedicineCardiovascular Disease036149604ILLINOISYes

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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