Eagan, Kellye Michelle

Eagan, Kellye Michelle is an individual health care provider with primary practice located at 100 Fitness Dr , Bourbonnais IL 60914-9584. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Eagan, Kellye Michelle can be contacted via phone (815) 933-7671.

Contact Information

Primary practice address
100 Fitness Dr Bourbonnais IL 60914-9584
Phone: (815) 933-7671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 051303581 Illinois

Profile Details

NPI number 1801470711
LBN Legal business name Eagan, Kellye Michelle
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2021
Last updated Dec 21st, 2023 - about last year

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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