Active NPI
Patricia G Mankowski, APRN-FPA, FNP-BC
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277.001648
- Practice address
- 2501 W 103Rd St Ste B04
Chicago, IL 60655-1007 - Phone
- (773) 707-9838
- NPI assigned
- Feb 28, 2017
- 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 | 277.001648 | IL | Primary |
Addresses
Primary practice location
2501 W 103Rd St Ste B04
Chicago, IL 60655-1007
Mailing address
2501 W 103Rd St Ste B04
Chicago, IL 60655-1007
Phone (773) 707-9838
Other practice location 1
3925 W 103rd St
Chicago, IL 60655-3703
Phone (772) 298-3712
Other names 1
- Patricia G Newby
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277.001648 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Tria Aesthetics & Wellness | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Ucm Medical Group Sub, LLC | Current | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
27702 Network Pl
Chicago, IL 60673
1101 W Monroe St
Chicago, IL 60607
Phone (312) 598-8458
135 S Lasalle St
Chicago, IL 60674
Phone (773) 735-5600
7732 Solution Ctr
Dept 3466
Chicago, IL 60677
4742 Cal Sag Rd
Crestwood, IL 60418
Phone (708) 915-2727
19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1386863819
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1891913992
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Health Service Clinic/Center
- Chicago, IL
- NPI 1083599252
-
- Family Medicine Physician
- Harvey, IL
- NPI 1467442293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1720528474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 W 103RD ST STE B04",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606551007",
"telephone_number": "773-707-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W 103RD ST STE B04",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606551007",
"telephone_number": "773-707-9838"
}
],
"practiceLocations": [
{
"address_1": "3925 W 103rd St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606553703",
"country_code": "US",
"telephone_number": "772-298-3712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANKOWSKI",
"first_name": "PATRICIA",
"middle_name": "G",
"credential": "APRN-FPA, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277.001648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "NEWBY",
"middle_name": "G",
"credential": "APRN-FPA, FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.