Individual provider Active NPI

Kaitlyn Danielle Vesevick, AGPCNP-BC, DNP

  • Adult Health Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1548101843
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209034917 Issued in IL
Practice address
360 W Butterfield Rd Ste 325
Elmhurst, IL 60126-5088
Phone
(312) 728-4728
Fax
(312) 728-4729
NPI assigned
Apr 2, 2026
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209034917 IL Primary
Registered Nurse 163W00000X 041497490 IL

Addresses

Primary practice location

360 W Butterfield Rd Ste 325
Elmhurst, IL 60126-5088

Mailing address

1150 N Lake Shore Dr Apt 16B
Chicago, IL 60611-5229
Phone (630) 640-9460

Other practice location 1

401 W Lake St
Northlake, IL 60164-2435
Phone (630) 640-9460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041497490ILMDRegistered Nurse
209034917ILMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1548101843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N LAKE SHORE DR APT 16B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115229",
            "telephone_number": "630-640-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD STE 325",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265088",
            "telephone_number": "312-728-4728",
            "fax_number": "312-728-4729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Lake St",
            "address_purpose": "LOCATION",
            "city": "Northlake",
            "state": "IL",
            "postal_code": "601642435",
            "country_code": "US",
            "telephone_number": "630-640-9460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VESEVICK",
        "first_name": "KAITLYN",
        "middle_name": "DANIELLE",
        "credential": "AGPCNP-BC, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209034917",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041497490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.