Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTINE M WISE
Active Sole ProprietorKRISTINE M WISE is a Substance Abuse Rehabilitation Facility healthcare provider located in ST CHARLES, Illinois. NPI 1710863725 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · ST CHARLES, IL
Registration Details
- NPI Number
- 1710863725
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2025 (0.95610401674138 yrs)
- Last Updated
- Aug 14, 2025
- License
-
150115930 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 CARDINAL DR STE 280ST CHARLES, IL, 601756598Browse IL providers · Browse ZIP 60175
- Phone
- 8472140078
- Fax
- 3312692106
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.