Individual
MRS. KRISTEN ABBI FREGOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(814) 713-1825
Mailing address
3001 GREEN BAY ROAD, NORTH CHICAGO, IL 60064
(847) 688-6755
(847) 688-2751
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085006060
IL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/05/2016
Last updated
06/12/2019
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