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EMEMOBONG SUNDAY UDOSEN
NPI 1669291183
Nurse Practitioner - Primary Care in Lisle, IL

Active since October 10, 2024PECOS Enrolled
550 WARRENVILLE RD, LISLE, IL 60532(855) 493-5523 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ememobong Sunday Udosen NPPES

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

EMEMOBONG SUNDAY UDOSEN (NPI 1669291183) is an individual primary care provider in Lisle, Illinois, licensed in Illinois (209029110) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669291183
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameEMEMOBONG SUNDAY UDOSEN
Location Address550 WARRENVILLE RDLisle, IL 60532-4308
Mailing Address8340 Kolmar AveSkokie, IL 60076-2640 · (773) 425-9369
Phone(855) 493-5523
Sole ProprietorNo
Enumeration DateOctober 10, 2024
NPPES CertifiedOctober 9, 2024
✔ NPI 1669291183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IL · 209029110
550 WARRENVILLE RD, Lisle, IL 60532
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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)

Ememobong Sunday Udosen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60532 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

LESLIE NORMAN TRUBOW M.D.
Pediatrics
550 WARRENVILLE RD, SUITE 400
LISLE, IL 60532
Dupage County (630) 725-7205
PRIYANKA PATEL
Nurse Practitioner (Family)
550 WARRENVILLE RD
LISLE, IL 60532
Dupage County (855) 696-0073
DHANYA SUNIL
Nurse Practitioner (Family)
550 WARRENVILLE RD, SUITE 300
LISLE, IL 60532
Dupage County (773) 957-3345

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 Ememobong Udosen's NPI number?

The NPI number for Ememobong Udosen is 1669291183. It was assigned to this individual provider in the NPPES registry on October 10, 2024.

Where is Ememobong Udosen located?

Ememobong Udosen practices at 550 Warrenville Rd, Lisle, IL 60532. The listed phone number is (855) 493-5523.

What is Ememobong Udosen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Ememobong Udosen enrolled in Medicare?

Yes. Ememobong Udosen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ememobong Udosen was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.