Individual
KRISTIN ROSE LUCENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
1460 N HALSTED ST, CHICAGO, IL 60642-2605
(847) 618-3590
(847) 618-0305
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
209018263
IL
208VP0014X
Interventional Pain Medicine Physician
277003854
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
Primary
277003854
IL
363LF0000X
Family Nurse Practitioner
209018263
IL
363LF0000X
Family Nurse Practitioner
277003854
IL
Other
Enumeration date
03/12/2019
Last updated
06/04/2026
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