KILEY CENTER (NPI# 1679616080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679616080 |
Entity Type | Organization |
Organization Name | KILEY CENTER |
Practice Address |
1401 W Dugdale Rd Waukegan IL 60085-6263 |
Practice Telephone | 8472490600 |
Practice Fax Number | 8472490112 |
Enumeration Date | 2007-02-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | LJ HOKE (PHRM MANG) |
Authorized Official Telephone | 8472490600 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
IL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 1480401 | 01 |
Street Address |
1401 W DUGDALE RD |
City | WAUKEGAN |
State | IL |
Zip Code | 60085-6263 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629089818 | Pratibha Katyal Malhotra | Pediatrics | 1401 W Dugdale Rd, Waukegan, IL 60085-6263 | 2006-08-11 |
1588793616 | Ann Kiley Developmental Center Unit 3468 Home 38 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1401 W Dugdale Rd, Waukegan, IL 60085-6263 | 2007-03-05 |
1619005592 | Ann Kiley Developmental Center Unit 3568 Home 48 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1401 W Dugdale Rd, Waukegan, IL 60085-6263 | 2007-03-01 |
1528196409 | Ann Kiley Developmental Center Unit 3569 Home 49 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1401 W Dugdale Rd, Waukegan, IL 60085-6263 | 2007-03-01 |
1164550042 | Ann Kiley Developmental Center Unit 3570 Home 50 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1401 W Dugdale Rd, Waukegan, IL 60085-6263 | 2007-03-01 |
1174651178 | Ann Kiley Developmental Center Unit 3466 Home 36 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1401 W Dugdale Rd, Waukegan, IL 60085-6263 | 2007-03-01 |
1326176322 | Ann Kiley Developmetal Center Unit 3467 Home37 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1401 W Dugdale Rd, Waukegan, IL 60085-6263 | 2007-03-01 |
1649308651 | Ann Kiley Developmental Center Unit 3562 Home 42 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1401 W Dugdale Rd, Waukegan, IL 60085-6263 | 2007-03-01 |
1023146156 | Ann Kiley Developmental Center Unit 3464 Home 34 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1401 W Dugdale Rd, Waukegan, IL 60085-6263 | 2007-03-01 |
1386772416 | Ann Kiley Developmental Center Unit 3465 Home 35 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1401 W Dugdale Rd, Waukegan, IL 60085-6263 | 2007-03-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
Find all providers in zip 60085 |
Taxonomy Code | 3336I0012X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Institutional Pharmacy |
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689024036 | Forum Extended Care Services of Central Illinois | Pharmacy | 614 N 6th St Unit 200, Springfield, IL 62702-5313 | 2016-06-16 |
1730514944 | Rx Remote Solutions | Pharmacy | 1771 W Diehl Rd Ste 300, Naperville, IL 60563-4921 | 2013-09-06 |
1205854866 | Oak Forest Hospital Pharmacy | Pharmacy | 15900 Cicero Avenue, Oak Forest, IL 60452-4006 | 2006-07-18 |
1124064035 | Southern Illinois University Student | Pharmacy | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2006-06-20 |
1235525270 | Southern Illinois Hospital Services | Pharmacy | 405 W Jackson St, Carbondale, IL 62901-1462 | 2015-04-07 |
1346592821 | Edward Hospital | Pharmacy | 801 S Washington St, Naperville, IL 60540 | 2012-10-09 |
1861648099 | Carle Foundation Hospital | Pharmacy | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2008-08-07 |
1285852772 | Carlinville Area Hospital Association | Pharmacy | 1001 Morgan St, Carlinville, IL 62626-1448 | 2007-04-23 |
1306987201 | Hammond Henry Hospital | Pharmacy | 600 N College Ave, Geneseo, IL 61254-1091 | 2007-02-12 |
1407901606 | Hillsboro Area Hospital, Inc. | Pharmacy | 1200 E Tremont St, Hillsboro, IL 62049-1912 | 2007-01-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.