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
Mailing address300 Cardinal Dr Ste 280, St Charles, IL 60175-6598