| Imaobong Patrick Udonkang, NP | |
|
18408 Governors Hwy, Homewood, IL 60430-2911 | |
| (708) 647-0571 | |
| (708) 647-0676 |
| Full Name | Imaobong Patrick Udonkang |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 18408 Governors Hwy, Homewood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093431173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.026142 (Illinois) | Primary |
| Entity Name | Specialty Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602 |
| Entity Name | Ayesha Akbar Md Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306028147 PECOS PAC ID: 4981652419 Enrollment ID: O20050111000460 |
| Entity Name | Apex Hospice And Palliative Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356620090 PECOS PAC ID: 1951573252 Enrollment ID: O20131127001628 |
| Mailing Address | Practice Location Address |
|---|---|
| Imaobong Patrick Udonkang, NP 35318 Eagle Way, Chicago, IL 60678-1353 Ph: (317) 528-4800 | Imaobong Patrick Udonkang, NP 18408 Governors Hwy, Homewood, IL 60430-2911 Ph: (708) 647-0571 |
Tracy O Omorogieva, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 17901 Governors Hwy Ste 206, Homewood, IL 60430 Phone: 708-960-4280 | |
Nicole Miroballi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17901 Governors Hwy Ste 102, Homewood, IL 60430 Phone: 708-888-8287 Fax: 708-957-4519 | |
Dr. Melanie Weglarz, DNP, APRN, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18357 Cowing Ct, Homewood, IL 60430 Phone: 708-337-0354 | |
Dorothy B Bassey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18400 Cherry Creek Dr Apt 312, Homewood, IL 60430 Phone: 312-647-8563 | |
Yetunde A Ayoade, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17901 Governors State Hwy, Suite 209, Homewood, IL 60430 Phone: 708-960-4280 | |
Benedeth Ndidi Nwumeh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1155 183rd St, Homewood, IL 60430 Phone: 708-288-1099 |