EBONI PATRICK APRN
NPI 1689562464
Nurse Practitioner - Family in Willowbrook, IL

Q: What is Eboni Patrick's NPI number?

The NPI number for Eboni Patrick is 1689562464. It was assigned to this individual provider in the NPPES registry on June 27, 2025.

Q: What is Eboni Patrick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eboni Patrick was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 27, 2025PECOS EnrolledAccepts Medicare Assignment

40 75TH ST, WILLOWBROOK, IL 60527(630) 581-5372 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Eboni Patrick Aprn NPPES

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

EBONI PATRICK APRN (NPI 1689562464) is an individual family provider in Willowbrook, Illinois, licensed in Illinois (209032625) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689562464

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEBONI PATRICKCredential: APRN

Location Address40 75TH STWillowbrook, IL 60527-2325

Mailing Address553 Larkspur DrBolingbrook, IL 60440-4809 · (708) 491-1230

Phone(630) 581-5372

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJune 27, 2025

NPPES CertifiedJune 27, 2025

✔ NPI 1689562464 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 · 209032625

40 75TH ST, Willowbrook, IL 60527

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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 and accepts Medicare assignment

Eboni Patrick Aprn 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 ID3476053802

PECOS Enrollment IDI20250821000505

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 60527 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 20

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

YESENIA SANCHEZ

Nurse Practitioner (Family)