Individual provider Active NPI

Christine Wanyana, APN, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Rolling Meadows, IL
National Provider Identifier
1356624035
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
377000725 Issued in IL
Practice address
3701 Algonquin Rd Ste 1050
Rolling Meadows, IL 60008-3127
Phone
(847) 305-3250
Fax
(815) 806-1205
NPI assigned
Sep 20, 2011
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 377000725 IL Primary
Gastroenterology Physician 207RG0100X 277000743 IL

Addresses

Primary practice location

3701 Algonquin Rd Ste 1050
Rolling Meadows, IL 60008-3127

Mailing address

3701 Algonquin Rd Ste 1050
Rolling Meadows, IL 60008-3127
Phone (847) 305-3250

Other names 1

  • Miss Christine Wanyana Professional 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
I20180119001530 IL Practitioner - Nurse Practitioner 3678832656 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio Medical University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

2145 E 170TH St
South Holland, IL 60473-3788
Phone (708) 895-3255

3701 Algonquin Rd
Rolling Meadows, IL 60008-3127
Phone (800) 216-1130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
377000725ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 27, 2024 Accepting new patients
CMC Healthcare LLC CurrentSince Aug 10, 2025 Accepting new patients
Trio Health Medical Il Psychiatry Partners PLLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

14255 Cicero Ave
Crestwood, IL 60418
Phone (708) 371-0400

9300 W Ballard Rd
Des Plaines, IL 60016
Phone (847) 294-2300

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

2145 E 170th St
South Holland, IL 60473
Phone (708) 895-3255

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1356624035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 ALGONQUIN RD STE 1050",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083127",
            "telephone_number": "847-305-3250",
            "fax_number": "815-806-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 ALGONQUIN RD STE 1050",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083127",
            "telephone_number": "847-305-3250",
            "fax_number": "815-806-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANYANA",
        "first_name": "CHRISTINE",
        "name_prefix": "Miss",
        "credential": "APN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "377000725",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "277000743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "WANYANA",
            "prefix": "MISS",
            "credential": "PMHNP-BC, APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rolling Meadows, IL

Sources for this page

Verify at the official NPI Registry.