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IMAOBONG PATRICK UDONKANG NP
NPI 1093431173
Nurse Practitioner - Family in Homewood, IL

Active since October 19, 2022PECOS EnrolledAccepts Medicare Assignment
18408 GOVERNORS HWY, HOMEWOOD, IL 60430(708) 647-0571(708) 647-0676 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2025, Nov 4, 2024, Oct 19, 2022 (3 updates tracked since 2022).

About Imaobong Patrick Udonkang Np NPPES

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

IMAOBONG PATRICK UDONKANG NP (NPI 1093431173) is an individual family provider in Homewood, Illinois, licensed in Illinois (209.026142) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Olympia & Chicago Heights, and maintains a secondary practice location in Merrionette Park.

NPPES Registry Identity

NPI1093431173
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIMAOBONG PATRICK UDONKANGCredential: NP
Location Address18408 GOVERNORS HWYHomewood, IL 60430-2911
Mailing Address35318 Eagle WayChicago, IL 60678-1353 · (317) 528-4800 · Fax (317) 865-1479
Phone(708) 647-0571
Fax(708) 647-0676
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 19, 2022
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1093431173 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 · 209.026142
18408 GOVERNORS HWY, Homewood, IL 60430
Open in Google Maps ↗

Secondary Practice Location 1

Location 13315 W 115th St Unit CMerrionette Park, IL 60803-4556 · Phone (708) 907-4355

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

Imaobong Patrick Udonkang Np 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.

PECOS PAC ID7012385065
PECOS Enrollment IDI20221122002143
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Olympia & Chicago Heights

Acute Care Hospitals · Olympia Fields, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140172
Location20201 S Crawford AvenueOlympia Fields, IL 60461 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60430 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 3

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

KOMAL MAHENDRAKUMAR PATEL DO, MPH
Family Medicine
18408 GOVERNORS HWY
HOMEWOOD, IL 60430
Cook County (708) 647-0571
JOSEPHINE MINNICINO MD
Family Medicine
18408 GOVERNORS HWY
HOMEWOOD, IL 60430
Cook County (708) 647-0571
COURTNEY HATCHER MD
Family Medicine
18408 GOVERNORS HWY
HOMEWOOD, IL 60430
Cook County (708) 647-0571

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 Imaobong Udonkang's NPI number?

The NPI number for Imaobong Udonkang is 1093431173. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Imaobong Udonkang located?

Imaobong Udonkang practices at 18408 Governors Hwy, Homewood, IL 60430. The listed phone number is (708) 647-0571.

What is Imaobong Udonkang's specialty?

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

Is Imaobong Udonkang enrolled in Medicare?

Yes. Imaobong Udonkang 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.

Is Imaobong Udonkang affiliated with any hospitals?

According to CMS data, Imaobong Udonkang is affiliated with Franciscan Health Olympia & Chicago Heights.

When was this NPI record last updated?

The NPPES record for Imaobong Udonkang was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.