Healthcare Provider Details

I. General information

NPI: 1609943661
Provider Name (Legal Business Name): JUNINE DARBY DEGRAF APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2507 N RICHMOND RD
MCHENRY IL
60051-5407
US

IV. Provider business mailing address

2507 N RICHMOND RD
MCHENRY IL
60051-5407
US

V. Phone/Fax

Practice location:
  • Phone: 815-344-2300
  • Fax: 815-344-8957
Mailing address:
  • Phone: 815-344-2300
  • Fax: 815-344-8957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number277000065
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2024043024
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2024043024
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number209-000619
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: