Dagdick, Kelley

Dagdick, Kelley is an sole proprietor health care provider with primary practice located at 415 W Park Ave , Round Lake IL 60073-3225. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Dagdick, Kelley can be contacted via phone (847) 401-4198.

Contact Information

Primary practice address
415 W Park Ave Round Lake IL 60073-3225
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1093121840
LBN Legal business name Dagdick, Kelley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2014
Last updated Jul 1st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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