Individual provider Active NPI

Patricia G Mankowski, APRN-FPA, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1720528474
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.001648 Issued in IL
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

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170315000433 IL Practitioner - Nurse Practitioner 0345137188 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277.001648ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Jan 27, 2019 Accepting new patients
Tria Aesthetics & Wellness CurrentSince Aug 17, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Jan 27, 2019 Accepting new patients
Ucm Medical Group Sub, LLC CurrentSince Nov 1, 2017 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.

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

Verify at the official NPI Registry.