IndividualActive
Kaitlin O'Dea
NPI 1629899299 · Critical Care Pediatric Nurse Practitioner · Park Ridge, IL
Provider details
- NPI number
- 1629899299
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209.030328 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1675 W Dempster St
Park Ridge, IL 60068-1110
Phone: (847) 723-5313
Fax: (847) 723-2325
Approximate (ZIP-level) locationGet directions
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Additional practice locations (1)
- 1775 Dempster StPark Ridge, IL 60068-1143Phone: (847) 723-0353
Registry dates
- Enumerated
- 2024-10-17
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.