Catherine Wysocka

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036.161908 Issued in IL

Practice address

820 E Terra Cotta Ave Ste 226
Crystal Lake, IL 60014-3646

Phone

(815) 455-2100

Fax

(815) 455-3284

NPI assigned

Mar 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwysocka388763@direct.myadvocateaurora.org
• FHIR API: https://api.platform.athenahealth.com/15310/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/13514/brand/1/csg/1/fhir/r4

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.

• Advocate Health and Hospitals Corporation

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455
  Medicare reassignment NPD
• Advocate Health & Hospitals Corp.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1750315545
  NPD
• Advocate Health and Hospitals Corporation

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  NPD
• Arlington Pediatrics, LTD.

  • Pediatrics Physician
  • Arlington Heights, IL
  • NPI 1841257128
  NPD (past)
• David a Mackoul, M.D., P.a.

  • Pediatrics Physician
  • Cape Coral, FL
  • NPI 1659389948
  NPD (past)

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1184156903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E TERRA COTTA AVE STE 226",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143646",
            "telephone_number": "815-455-2100",
            "fax_number": "815-455-3284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 SE 16th Pl",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339901329",
            "country_code": "US",
            "telephone_number": "239-573-2001",
            "fax_number": "239-333-1068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3325 N Arlington Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600041582",
            "country_code": "US",
            "telephone_number": "847-398-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYSOCKA",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME144827",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.161908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "820 E Terra Cotta Ave Ste 226",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600143646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwysocka388763@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "820 E Terra Cotta Ave Ste 226",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600143646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susi Bosheung Wong, PHARMD
• Sara Eileen Work, M.S., CCC-SLP/L
• Diana Wozniak
• Heather Geeves Wright, M.S., CCC-SLP
• Sylwia Katarzyna Wronka, PHARMD
• John Woong Yang, DMD
• Reanna Denise Yarveicy
• Ellen L Young, LCPC
• Mary E Young
• Andrew J Yu, M.D.

• Pediatrics Physician in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.