Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kaitlyn Jamie Lundgren

Individual provider Family Nurse Practitioner · NPI 1114415205

Mrs. Kaitlyn Jamie Lundgren is a Nurse Practitioner in Mundelein, Illinois. Qualified in 2017, 9 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2018
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Practice location Address checks out

3220 W Il Route 60
Mundelein, IL 60060-4271
Phone: (847) 837-8442
Fax: (847) 837-8542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 431 W Liberty St, Wauconda, IL 60084 — (847) 526-2151

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209017501 (IL)

Record details

NPI number1114415205
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 25, 2018
Last updated in NPPESJune 6, 2022
Certification dateAugust 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Mundelein