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Individual

KRISTINE M WISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
300 CARDINAL DR STE 280, ST CHARLES, IL 60175-6598
(847) 214-0078
(331) 269-2106
Mailing address
300 CARDINAL DR STE 280, ST CHARLES, IL 60175-6598
(847) 214-0078

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
150115930
IL

Other

Enumeration date
08/14/2025
Last updated
08/14/2025
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