Individual provider · Type 1 NPI

Kristen Abbi Fregoso, PA-C

Medical Physician Assistant · North Chicago, IL

NPI number 1730639451 Active

Practice location

3001 Green Bay Rd
North Chicago, IL 60064-3048

Call (814) 713-1825 Map

Mailing address

3001 Green Bay Road
North Chicago, IL 60064

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700X085006060 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1730639451

Kristen Abbi Fregoso, PA-C's National Provider Identifier is 1730639451, issued on Oct 5, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in North Chicago, IL. The record was last updated on Jun 12, 2019.