Individual provider Active NPI

Catherine Anne Uglietta, PA-C

  • Physician Assistant
  • Oak Park, IL
National Provider Identifier
1033708755
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
719 South Blvd
Oak Park, IL 60302-2903
Phone
(708) 406-7222
NPI assigned
Jan 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

719 South Blvd
Oak Park, IL 60302-2903

Mailing address

719 South Blvd
Oak Park, IL 60302-2903
Phone (708) 406-7222

Other practice location 1

1415 W 47th St
LA Grange, IL 60525-6136
Phone (708) 765-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250728002309 IN Practitioner - Physician Assistant 1456759604 Reassigns benefits to 1 organization
I20251027000293 IL Practitioner - Physician Assistant 1456759604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

3501 Enterprise Ave
Valparaiso, IN 46383-6953
Phone (815) 744-8554

595 William Latham Dr
Bourbonnais, IL 60914-2319
Phone (815) 744-8554

833 W Lincoln Hwy
Suite 205W
Schererville, IN 46375-1674
Phone (219) 865-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Dermatology Institute, LLC CurrentSince Jun 1, 2026 Accepting new patients
Dermatology and Plastic Surgery Associates, S.C. PastSince Apr 3, 2017 Accepting new patients
University Dermatology Associates PLLC PastSince Feb 8, 2023 Accepting new patients

Locations

1415 W 47th St
Lagrange Hlds, IL 60525
Phone (708) 352-5652

Organizations & group practices 4

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": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1033708755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SOUTH BLVD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022903",
            "telephone_number": "708-406-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 SOUTH BLVD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022903",
            "telephone_number": "708-406-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 W 47th St",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "IL",
            "postal_code": "605256136",
            "country_code": "US",
            "telephone_number": "708-765-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGLIETTA",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.