NPI Profile for TRACEY OGDON in OAK LAWN, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Pediatrics, Critical Care |
363LP0222X | 50 | Nurse Practitioner |
| NPI # | 1407208101 |
|
| Status | Active | |
| Credentials | PNP | |
| Entity | Individual | |
| Enumeration date | 07/06/2016 | |
| Last updated | 12/29/2025 - About 5 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TRACEY OGDON
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