Provider Demographics
NPI:1699091926
Name:MESSINGER, KRISTIN ELAINE (FNP)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ELAINE
Last Name:MESSINGER
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 S IL ROUTE 21 STE 120
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-3803
Mailing Address - Country:US
Mailing Address - Phone:847-855-9700
Mailing Address - Fax:847-855-8990
Practice Address - Street 1:731 S IL ROUTE 21 STE 120
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-3803
Practice Address - Country:US
Practice Address - Phone:847-855-9700
Practice Address - Fax:847-855-8550
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209008637363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner