Provider Demographics
NPI:1801248422
Name:NAGUE, KRISTHINE FIDEL (NP)
Entity type:Individual
Prefix:
First Name:KRISTHINE
Middle Name:FIDEL
Last Name:NAGUE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:950 TECHNOLOGY WAY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-5366
Mailing Address - Country:US
Mailing Address - Phone:224-407-4400
Mailing Address - Fax:224-407-2255
Practice Address - Street 1:40 SKOKIE BLVD.
Practice Address - Street 2:SUITE 110
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1614
Practice Address - Country:US
Practice Address - Phone:224-407-4400
Practice Address - Fax:224-407-2255
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-07
Last Update Date:2025-09-26
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Provider Licenses
StateLicense IDTaxonomies
IL209014431364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health