IndividualActive
Dehedgra Idowu, AGPCNP-BC
NPI 1609054881 · Gerontology Nurse Practitioner · Oak Park, IL
Provider details
- NPI number
- 1609054881
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- RN562570 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Practice location
18 Chicago Ave
Oak Park, IL 60302-2402
Phone: (773) 253-3933
Fax: (773) 437-6780
Approximate (ZIP-level) locationGet directions
Mailing address
213 N Racine Ave
Chicago, IL 60607-1644
Registry dates
- Enumerated
- 2008-02-09
- Last updated
- 2015-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.