Provider Demographics
NPI:1255950911
Name:KRISTINE FRANCISCO, NP PC.
Entity type:Organization
Organization Name:KRISTINE FRANCISCO, NP PC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCISCO
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:847-848-2258
Mailing Address - Street 1:714 GOLFVIEW TER
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-3539
Mailing Address - Country:US
Mailing Address - Phone:847-848-2258
Mailing Address - Fax:
Practice Address - Street 1:535 N LAKE ST UNIT 1N
Practice Address - Street 2:
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-1826
Practice Address - Country:US
Practice Address - Phone:224-223-5229
Practice Address - Fax:570-243-0829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-13
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty