Individual provider Active NPI

Kathryn Yagunic, AGNP-BC

  • Nurse Practitioner
  • McHenry, IL
National Provider Identifier
1730664871
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209017807 Issued in IL
Practice address
4305 W Medical Center Dr Ste 1
McHenry, IL 60050-8425
Phone
(815) 759-8100
Fax
(815) 759-8106
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209017807 IL Primary

Addresses

Primary practice location

4305 W Medical Center Dr Ste 1
McHenry, IL 60050-8425

Mailing address

4305 W Medical Center Dr Ste 1
McHenry, IL 60050-8425
Phone (815) 759-8100

Other practice location 1

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kyagunic191167@dulyhealthandcare.direct-ci.com

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
I20190328000636 IL Practitioner - Nurse Practitioner 3678813771 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
Telehealth
Offers telehealth services
Group practices
The University of Chicago Medical CenterGroup PAC ID 7618880766, 907 clinicians

Practice addresses (Care Compare)

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

Hospital & facility affiliations

  • The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209017807ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Apr 1, 2019 Accepting new patients
University of Chicago CurrentSince Feb 29, 2024 Accepting new patients
Dupage Medical Group LTD CurrentSince Apr 1, 2019 Accepting new patients
The University of Chicago Medical Center CurrentSince Feb 29, 2024 Accepting new patients
The University of Chicago Medical Center CurrentSince Feb 29, 2024 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100

25 N Winfield Rd
Ste 405
Winfield, IL 60190
Phone (630) 873-8889

Interoperability endpoints

  • Direct secure messaging: kyagunic285283@uchospital.direct-ci.com

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1730664871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 W MEDICAL CENTER DR STE 1",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508425",
            "telephone_number": "815-759-8100",
            "fax_number": "815-759-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 W MEDICAL CENTER DR STE 1",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508425",
            "telephone_number": "815-759-8100",
            "fax_number": "815-759-8106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "773-702-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAGUNIC",
        "first_name": "KATHRYN",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209017807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyagunic191167@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "25 N Winfield Rd Ste 405",
            "city": "Winfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601901222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.