Healthcare Provider Details

I. General information

NPI: 1235048828
Provider Name (Legal Business Name): CAITLIN T YAUN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 GALENA SQUARE DR STE B
GALENA IL
61036-1355
US

IV. Provider business mailing address

3125 PENNSYLVANIA AVE APT 215
DUBUQUE IA
52001-5312
US

V. Phone/Fax

Practice location:
  • Phone: 815-391-1000
  • Fax:
Mailing address:
  • Phone: 815-985-8314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.129028
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: