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NILS A EASTBURG
NPI 1023691300
Family Medicine in Chicago, IL

Active since May 04, 2021PECOS Enrolled
3860 W OGDEN AVE, CHICAGO, IL 60623(872) 588-3000 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2023, May 4, 2021 (2 updates tracked since 2021).

About Nils A Eastburg NPPES

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

NILS A EASTBURG (NPI 1023691300) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125082277) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2023).

NPPES Registry Identity

NPI1023691300
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNILS A EASTBURG
Location Address3860 W OGDEN AVEChicago, IL 60623-2460
Mailing Address600 S Paulina St Ste 403Chicago, IL 60612-3806
Phone(872) 588-3000
Sole ProprietorYes
Medical School CMSRush Medical College Of Rush UniversityGraduated 2023
Enumeration DateMay 4, 2021
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1023691300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125082277
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 036.178917 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3860 W OGDEN AVE, Chicago, IL 60623
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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)

Nils A Eastburg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941777627
PECOS Enrollment IDI20260430001126
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 60623 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 20

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

JOONGYU DANIEL SONG MD
Internal Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
ANNA TORNQUIST
Counselor (Professional)
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
DR. ALISHA RONETTE TILLMAN DO
Family Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
DR. THOMAS W BOCKLE M.D.
Pediatrics
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
EDWIN W MANGRAM II D.D.S.
Dentist
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
LINDSAY J MCCRACKEN P.A.-C
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
LISA ANNE WERNER PA
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
MRS. HEIDI MILLER NP
Nurse Practitioner
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000

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 Nils Eastburg's NPI number?

The NPI number for Nils Eastburg is 1023691300. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Nils Eastburg located?

Nils Eastburg practices at 3860 W Ogden Ave, Chicago, IL 60623. The listed phone number is (872) 588-3000.

What is Nils Eastburg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nils Eastburg enrolled in Medicare?

Yes. Nils Eastburg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nils Eastburg was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.