Dominique Eaves, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209017463 Issued in IL

Practice address

5331 W 79TH St
Burbank, IL 60459

Phone

(708) 422-5977

NPI assigned

May 3, 2018

Last updated

Apr 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deaves313271@direct.myadvocateaurora.org

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.

• Sandeep Chandra MD SC

  • Internal Medicine Physician
  • Burbank, IL
  • NPI 1407897218
  Medicare reassignment NPD

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1659860781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604593500",
            "telephone_number": "708-207-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "60459",
            "telephone_number": "708-422-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAVES",
        "first_name": "DOMINIQUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Irving Zagorin Optometrist LTD.
• Mitchell Drexler, DPM MPH
• DRS Wang M.D.S.C
• Mary Kate Dunne, DVM
• Thomas Dzielawski, D.C.
• Eccentric 28 Transportation LLC
• Marie Ellen Ellis, DO
• Adam Elmosa, DMD
• Sammy Anwar Elmosa, DDS
• Steve Anwar Elmosa, D.O.

• Family Nurse Practitioner in Burbank, IL
• Providers in Burbank, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.