Healthcare Provider Details

I. General information

NPI: 1285546796
Provider Name (Legal Business Name): KATIE GULINO DNP, APRN, CPNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E CHICAGO AVE
CHICAGO IL
60611-2991
US

IV. Provider business mailing address

225 E CHICAGO AVE
CHICAGO IL
60611-2991
US

V. Phone/Fax

Practice location:
  • Phone: 312-227-7410
  • Fax: 312-227-9525
Mailing address:
  • Phone: 312-227-7410
  • Fax: 312-227-9525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number209036528
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: