MRS. DEHEDGRA IDOWU AGPCNP-BC
NPI 1609054881
Nurse Practitioner - Gerontology in Oak Park, IL

Q: What is Dehedgra Idowu's NPI number?

The NPI number for Dehedgra Idowu is 1609054881. It was assigned to this individual provider in the NPPES registry on February 9, 2008.

Q: What is Dehedgra Idowu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Dehedgra Idowu was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 09, 2008PECOS Enrolled

18 CHICAGO AVE, OAK PARK, IL 60302(773) 253-3933(773) 437-6780 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Dehedgra Idowu Agpcnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEHEDGRA IDOWU AGPCNP-BC (NPI 1609054881) is an individual gerontology provider in Oak Park, Illinois, licensed in Illinois (209012233) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609054881

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMRS. DEHEDGRA IDOWUCredential: AGPCNP-BC

Location Address18 CHICAGO AVEOak Park, IL 60302-2402

Mailing Address213 N Racine AveChicago, IL 60607-1644 · (312) 733-9730

Phone(773) 253-3933

Fax(773) 437-6780

Sole ProprietorNo

Enumeration DateFebruary 9, 2008

Last NPPES UpdateOctober 15, 2015

✔ NPI 1609054881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IL · 209012233

Also ListedRegistered NurseTaxonomy 163W00000X · License RN562570 (PA)

Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 041424181 (IL)

18 CHICAGO AVE, Oak Park, IL 60302

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Dehedgra Idowu Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCOS ERAZO MSW

Social Worker (Clinical)