Individual provider Active NPI

Kattryn Gail Guardiano, APRN

  • Nurse Practitioner
  • Waukegan, IL
National Provider Identifier
1295620508
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.032492 Issued in IL
Practice address
2400 Belvidere Rd
Waukegan, IL 60085-6165
Phone
(847) 377-8800
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Lake 42 clinicians

Practice addresses (Care Compare)

224 W Clarendon Dr
Round Lake Beach, IL 60073-1896
Phone (847) 377-8800

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
I20250929003001 IL Practitioner - Nurse Practitioner 9537665682 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.032492ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake CurrentSince Jul 19, 2025 Accepting new patients
County of Lake Current Accepting new patients
County of Lake CurrentSince Jul 19, 2025 Accepting new patients
County of Lake PastSince Jun 15, 2025 Accepting new patients

Locations

224 W Clarendon Dr
Round Lake Beach, IL 60073
Phone (847) 377-8800

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

1819 27th St
Zion, IL 60099
Phone (847) 984-5400

Interoperability endpoints

  • Direct secure messaging: kattryn.guadiano.p1@direct.lakecountyil.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.032492 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

2400 Belvidere Rd
Waukegan, IL 60085-6165

Mailing address

1819 27TH St
Zion, IL 60099-2541
Phone (847) 984-5400

Other practice location 1

1819 27th St
Zion, IL 60099-2541
Phone (847) 984-5400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2025.

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1295620508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 27TH ST",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992541",
            "telephone_number": "847-984-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BELVIDERE RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856165",
            "telephone_number": "847-377-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1819 27th St",
            "address_purpose": "LOCATION",
            "city": "Zion",
            "state": "IL",
            "postal_code": "600992541",
            "country_code": "US",
            "telephone_number": "847-984-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUARDIANO",
        "first_name": "KATTRYN",
        "middle_name": "GAIL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.032492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

Verify at the official NPI Registry.