EZIAHA R GEORGEWILL APRN-BC, C
NPI 1013521038
Nurse Practitioner - Primary Care in Hazel Crest, IL
About Eziaha R Georgewill Aprn-bc, C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EZIAHA R GEORGEWILL APRN-BC, C (NPI 1013521038) is an individual primary care provider in Hazel Crest, Illinois, licensed in Illinois (209.021912) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Eziaha R Georgewill Aprn-bc, C is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Eziaha Georgewill's NPI number?
The NPI number for Eziaha Georgewill is 1013521038. It was assigned to this individual provider in the NPPES registry on September 8, 2020.
Where is Eziaha Georgewill located?
Eziaha Georgewill practices at 17800 Kedzie Ave # A, Hazel Crest, IL 60429. The listed phone number is (708) 799-8000.
What is Eziaha Georgewill's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Eziaha Georgewill enrolled in Medicare?
Yes. Eziaha Georgewill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Eziaha Georgewill was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Eziaha R Georgewill, APRN-BC, C · NPI 1013521038
Primary Care physician in Hazel Crest, Illinois. Individual provider, active in the CMS NPPES registry since September 8, 2020.
## Identity
- **NPI:** 1013521038 (Entity type: Individual)
- **Enumerated:** September 8, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 209.021912 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 17800 KEDZIE AVE # A, Hazel Crest, IL 60429-2029
- **Phone:** (708) 799-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 8, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1013521038) · Data from the CMS NPPES public registry.