Individual provider Active NPI

Christine Yum, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1932912409
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.032168 Issued in IL
Practice address
75 Executive Dr Ste 447
Aurora, IL 60504-8112
Phone
(312) 973-2554
Fax
(734) 203-7149
NPI assigned
Jan 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.495123 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.032168 IL Primary

Addresses

Primary practice location

75 Executive Dr Ste 447
Aurora, IL 60504-8112

Mailing address

75 Executive Dr Ste 447
Aurora, IL 60504-8112
Phone (312) 973-2554

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
I20250911005006 IL Practitioner - Nurse Practitioner 3678076932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Holistic Health and Behavioral Services IncGroup PAC ID 5395157960, 6 clinicians

Practice addresses (Care Compare)

75 Executive Dr
Suite 447
Aurora, IL 60504-8112
Phone (312) 973-2554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
041.495123ILMDRegistered Nurse
209.032168ILMDPsychiatric/Mental Health Nurse Practitioner

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1932912409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR STE 447",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048112",
            "telephone_number": "312-973-2554",
            "fax_number": "734-203-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR STE 447",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048112",
            "telephone_number": "312-973-2554",
            "fax_number": "734-203-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUM",
        "first_name": "CHRISTINE",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.495123",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.032168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.