Kiley Center

LBN: Illinois Department Of Human
Kiley Center is an health care organization with primary practice located at 1401 W Dugdale Rd , Waukegan IL 60085-6263. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Illinois Department Of Human can be contacted via phone (847) 249-0600, or through Ryden, Jennifer via phone (217) 785-0906.

Contact Information

Primary practice address
1401 W Dugdale Rd Waukegan IL 60085-6263
Phone: (847) 249-0600
Fax: (847) 249-0112
Website:
Map and Directions
Authorized official contact:
Name: Ryden, Jennifer RPH
Phone: (217) 785-0906

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 054017313 Illinois

Profile Details

NPI number 1457404667
LBN Legal business name Illinois Department Of Human
DBA Doing business as Kiley Center
Authorized official Ryden, Jennifer RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Aug 30th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457404667 NPPES
Other 2023337 PK

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