Individual provider Active NPI

Evgeniya Afonina, FNP BC

  • Family Nurse Practitioner
  • Wheeling, IL
National Provider Identifier
1720979099
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209032519041513935 Issued in IL
Practice address
748 Kristy LN
Wheeling, IL 60090-5596
Phone
(847) 858-2681
NPI assigned
Jul 14, 2025
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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 209032519041513935 IL Primary

Addresses

Primary practice location

748 Kristy LN
Wheeling, IL 60090-5596

Mailing address

748 Kristy LN
Wheeling, IL 60090-5596
Phone (847) 858-2681

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
I20251201000044 IL Practitioner - Nurse Practitioner 6608369517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chestnut Health of Illinois LLCGroup PAC ID 2264747344, 38 clinicians

Practice addresses (Care Compare)

1530 N Randall Rd
Suite 210
Elgin, IL 60123-7879
Phone (224) 760-7322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209032519041513935ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Health of Illinois LLC CurrentSince Sep 15, 2025 Accepting new patients

Locations

1530 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (224) 760-7322

Organizations & group practices 1

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1720979099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 KRISTY LN",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600905596",
            "telephone_number": "847-858-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 KRISTY LN",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600905596",
            "telephone_number": "847-858-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFONINA",
        "first_name": "EVGENIYA",
        "credential": "FNP BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209032519041513935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

Verify at the official NPI Registry.