Individual provider Active NPI

Kathelyn Sim Daguro-Robledo, APN, MSN-FNP

  • Family Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1477032316
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.017732 Issued in IL
Practice address
2340 S Eola Rd
Aurora, IL 60503-6409
Phone
(630) 692-5190
Fax
(630) 692-5185
NPI assigned
Aug 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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 209.017732 IL Primary

Addresses

Primary practice location

2340 S Eola Rd
Aurora, IL 60503-6409

Mailing address

2340 S Eola Rd Ste 100
Aurora, IL 60503-6410
Phone (630) 692-5190

Other practice location 1

2816 Rosehall Ln
Aurora, IL 60503-5682
Phone (630) 518-6657

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
I20210520001374 IL Practitioner - Nurse Practitioner 7416208715 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians

Practice addresses (Care Compare)

1653 W Congress Pkwy
Chicago, IL 60612-3833

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

2340 S Eola Rd
Suite 100 Rush Copley Medical Group
Aurora, IL 60503-6410
Phone (630) 692-5190

Hospital & facility affiliations

  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.017732ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush-Copley Medical Group, NFP CurrentSince Jul 1, 2021 Accepting new patients
Rush University Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Rush Copley Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Rush University Medical Group CurrentSince Aug 1, 2025 Accepting new patients

Locations

444 N Eola Rd
Ste 110
Aurora, IL 60502
Phone (630) 499-8758

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2340 S Eola Rd
Ste 100
Aurora, IL 60503
Phone (630) 692-5190

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

1901 W Galena Blvd
Aurora, IL 60506
Phone (630) 692-5960

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

4789 State Route 71
Oswego, IL 60543
Phone (630) 692-5730

4390 State Route 71
Oswego, IL 60543
Phone (630) 551-3338

472 Route 47
Sugar Grove, IL 60554
Phone (630) 466-6000

1100 W Veterans Pkwy
Ste 200
Yorkville, IL 60560
Phone (630) 236-4270

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1477032316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 S EOLA RD STE 100",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036410",
            "telephone_number": "630-692-5190",
            "fax_number": "630-692-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S EOLA RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036409",
            "telephone_number": "630-692-5190",
            "fax_number": "630-692-5185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2816 Rosehall Ln",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605035682",
            "country_code": "US",
            "telephone_number": "630-518-6657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAGURO-ROBLEDO",
        "first_name": "KATHELYN",
        "middle_name": "SIM",
        "credential": "APN, MSN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.