Eden Elon Medical PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

EDEN ELON MEDICAL PLLC

Practice address

6307 Fox Ridge Dr
Plainfield, IL 60586-5565

Phone

(708) 250-8799

NPI assigned

Jul 30, 2025

Last updated

Jul 30, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ebony P Belle-Johnson, APN-BC FPANPI 1841736642

Title

Advanced Practice Nurse Practitione

Phone

(708) 250-8799

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ebony P Belle-Johnson, FNP-BC

  • Family Nurse Practitioner
  • Plainfield, IL
  • NPI 1841736642
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1548143191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 FOX RIDGE DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865565",
            "telephone_number": "708-250-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 FOX RIDGE DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865565",
            "telephone_number": "708-250-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN ELON MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "BELLE-JOHNSON",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADVANCED PRACTICE NURSE PRACTITIONE",
        "authorized_official_telephone_number": "708-250-8799",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN-BC FPA"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841736642",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• E Mediate Cure LLC
• Whitney Eagle
• Amanda Eaton, LPC
• Megan Eberle
• Melinda M Eckhorn, AU.D.
• Edessa Mirzapolos, Psy.D. PLLC
• Edgewood Clinical Services of Plainfield
• Edward Health Services Corporation
• Edward Health Ventures
• Edward Health Ventures (Edward Medical Group)

• Primary Care Nurse Practitioner in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Primary Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.