Provider Demographics
NPI:1245793868
Name:SIGAFUS, KRISTINE ANN
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:ANN
Last Name:SIGAFUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36856 N BOULEVARD VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60087-3249
Mailing Address - Country:US
Mailing Address - Phone:224-944-8882
Mailing Address - Fax:
Practice Address - Street 1:36856 N BOULEVARD VIEW AVE
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60087-3249
Practice Address - Country:US
Practice Address - Phone:224-944-8882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist