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Dehedgra Idowu, AGPCNP-BC

NPI 1609054881 · on the registry since 2008

Practice

Address
18 Chicago Ave
Oak Park, IL 60302
Phone
(773) 253-3933
Fax
(773) 437-6780
Clinicians at this address
16

Registry record

Primary taxonomy
363LG0600X
363LG0600X
Also registered as
163W00000X
163WM0705X
Licence states on file
PA, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois