Individual provider Active NPI

Kathryn Heyduck, APN

  • Primary Care Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1700335668
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209014852 Issued in IL
Practice address
1441 Branding Ave
Suite 310
Downers Grove, IL 60515-1160
Phone
(630) 963-3200
NPI assigned
Oct 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209014852 IL Primary

Addresses

Primary practice location

1441 Branding Ave
Suite 310
Downers Grove, IL 60515-1160

Mailing address

1441 Branding Ave
Suite 310
Downers Grove, IL 60515-1160
Phone (630) 963-3200

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
I20170515000700 IL Practitioner - Nurse Practitioner 5890072110 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Hospice of Chicagoland LLCGroup PAC ID 0840210019, 19 clinicians

Practice addresses (Care Compare)

3232 S Martin Luther King Dr
Chicago, IL 60616-3924
Phone (312) 427-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209014852ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Mar 18, 2017 Accepting new patients
Unity Hospice of Western Illinois, LLC CurrentSince Jul 24, 2018 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 18, 2017 Accepting new patients
Unity Hospice of Chicagoland LLC CurrentSince Aug 27, 2018 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

600 W Cermak Rd
Ste 3D
Chicago, IL 60616
Phone (312) 427-6000

1441 Branding Ave
Ste 310
Downers Grove, IL 60515
Phone (630) 829-1038

915 N Caron Rd
Rochelle, IL 61068
Phone (815) 561-8866

4101 Main St
Skokie, IL 60076
Phone (312) 847-2458

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1700335668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 BRANDING AVE",
            "address_2": "SUITE 310",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151160",
            "telephone_number": "630-963-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 BRANDING AVE",
            "address_2": "SUITE 310",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151160",
            "telephone_number": "630-963-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYDUCK",
        "first_name": "KATHRYN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209014852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.