Active NPI
Imaobong Patrick Udonkang, NP
- Family Nurse Practitioner
- Homewood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.026142
- Practice address
- 18408 Governors Hwy
Homewood, IL 60430-2911 - Phone
- (708) 647-0571
- Fax
- (708) 647-0676
- NPI assigned
- Oct 19, 2022
- Last updated
- Aug 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.026142 | IL | Primary |
Addresses
Primary practice location
18408 Governors Hwy
Homewood, IL 60430-2911
Mailing address
35318 Eagle Way
Chicago, IL 60678-1353
Phone (317) 528-4800
Other practice location 1
3315 W 115th St Unit C
Merrionette Park, IL 60803-4556
Phone (708) 907-4355
Other practice location 2
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E Via Ghiglieri
Toluca, IL 61369-9596
Phone (877) 883-9430
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.026142 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physicians of Illinois, LLC | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Apex Hospice and Palliative Care, Inc. | Current | Accepting new patients | |
| Altea Medical Illinois PLLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Specialty Physicians of Illinois, LLC | Current | Accepting new patients |
Locations
35318 Eagle Way
Chicago, IL 60678
490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
18408 Governors Hwy
Homewood, IL 60430
Phone (708) 647-0571
18636 Dixie Hwy
Homewood, IL 60430
Phone (708) 647-0571
3315 W 115th St
Unit C
Merrionette Park, IL 60803
Phone (708) 907-4355
3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850
1400 Otto Blvd
Sauk Village, IL 60411
Phone (708) 709-2030
101 E Via Ghiglieri
Toluca, IL 61369
Phone (815) 452-2367
510 Oakmont Ln
Westmont, IL 60559
Phone (630) 601-1280
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IL
-
- Geriatric Medicine (Internal Medicine) Physician
- Chicago Heights, IL
- NPI 1447039227
-
- Community Based Hospice Care Agency
- Westmont, IL
- NPI 1356620090
-
dba OSF OnCall Urgent Care
- Non-Pharmacy Dispensing Site
- Merrionette Park, IL
- NPI 1285220046
-
- Urgent Care Clinic/Center
- Frankfort, IL
- NPI 1962024612
-
- Internal Medicine Physician
- Greenwood, IN
- NPI 1124075676
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1093431173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35318 EAGLE WAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606781353",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18408 GOVERNORS HWY",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302911",
"telephone_number": "708-647-0571",
"fax_number": "708-647-0676"
}
],
"practiceLocations": [
{
"address_1": "3315 W 115th St Unit C",
"address_purpose": "LOCATION",
"city": "Merrionette Park",
"state": "IL",
"postal_code": "608034556",
"country_code": "US",
"telephone_number": "708-907-4355",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5841 S Maryland Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371443",
"country_code": "US",
"telephone_number": "888-824-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UDONKANG",
"first_name": "IMAOBONG",
"middle_name": "PATRICK",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.026142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, IL
- True Nature Integrative Health
- Jennifer Marie Truesdale
- Jonathan Tse
- Tye's Helping Hands LLC
- Tyrone Daniels (Gce Transportation)
- United Home Health Services of Cook County, Inc. (Mederi of Cook County)
- University Dental Associates
- Unlimited Mobility Therapy, Inc
- Venkata Subba Rao Uppuluri, M.D.
- Dayna L. Upton, MASTER DEGREE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.