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

Kristine M Wise

Individual provider Substance Abuse Rehabilitation Facility · NPI 1710863725

Kristine M Wise is a Substance Abuse Rehabilitation Facility in St Charles, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

300 Cardinal Dr Ste 280
St Charles, IL 60175-6598
Phone: (847) 214-0078
Fax: (331) 269-2106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 150115930 (IL)

Record details

NPI number1710863725
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 14, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025