MARY ODEFADEHAN FNP-C
NPI 1881212157
Nurse Practitioner - Family in Arlington Heights, IL

Active since July 13, 2020
1005 S EVERGREEN AVE, ARLINGTON HEIGHTS, IL 60005(847) 787-3734 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mary Odefadehan Fnp-c NPPES

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

MARY ODEFADEHAN FNP-C (NPI 1881212157) is an individual family provider in Arlington Heights, Illinois, licensed in Illinois (209021315) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1881212157
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY ODEFADEHANCredential: FNP-C
Location Address1005 S EVERGREEN AVEArlington Heights, IL 60005-3144
Mailing Address1005 S Evergreen AveArlington Heights, IL 60005-3144 · (847) 787-3734
Sole ProprietorYes
Enumeration DateJuly 13, 2020
NPPES CertifiedJuly 13, 2020
NPI 1881212157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209021315
1005 S EVERGREEN AVE, Arlington Heights, IL 60005

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
1005 S EVERGREEN AVE
ARLINGTON HEIGHTS, IL 60005
Clinic/Center (Adult Mental Health)
1005 S EVERGREEN AVE
ARLINGTON HEIGHTS, IL 60005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Odefadehan's NPI number?

The NPI number for Mary Odefadehan is 1881212157. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Where is Mary Odefadehan located?

Mary Odefadehan practices at 1005 S Evergreen Ave, Arlington Heights, IL 60005. The listed phone number is (847) 787-3734.

What is Mary Odefadehan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Odefadehan was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.