Healthcare Provider Details

I. General information

NPI: 1386305795
Provider Name (Legal Business Name): CAITLYN ARGUELLO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2022
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 S MARYLAND AVE
CHICAGO IL
60637-1426
US

IV. Provider business mailing address

2778 N MILWAUKEE AVE APT 213
CHICAGO IL
60647-1323
US

V. Phone/Fax

Practice location:
  • Phone: 888-824-0200
  • Fax:
Mailing address:
  • Phone: 414-758-6404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number209.024354
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number209.024354
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: