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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS KELLEY DAGDICK

Active Sole Proprietor

MISS KELLEY DAGDICK is a Specialist healthcare provider located in ROUND LAKE, Illinois. NPI 1093121840 is currently active in the NPPES registry. Verify at CMS.

Specialist · ROUND LAKE, IL

Registration Details

NPI Number
1093121840
Provider Type
Individual
Gender
Female
NPI Issued
Jul 1, 2014 (12.107493958054 yrs)
Last Updated
Jul 1, 2014
Sole Proprietor
Yes

Practice Information

Address
415 W PARK AVE
ROUND LAKE, IL, 600733225
Browse IL providers · Browse ZIP 60073
Phone
8474014198
Primary Specialty
Specialist
174400000X

Other Specialist Providers in ROUND LAKE, IL

Name Credential NPI
TIFFANY M. O'MALLEY M.ED. 1871625509
LAWRENCE SCIRE 1487051751
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.