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

DOLAN CENTRAL ILLINOIS COMPOUNDING LLC

Active Organization

DOLAN CENTRAL ILLINOIS COMPOUNDING LLC is a Clinic Pharmacy organization located in PEORIA, Illinois. NPI 1093883290 is currently active in the NPPES registry. Verify at CMS.

Clinic Pharmacy · PEORIA, IL

Registration Details

NPI Number
1093883290
Provider Type
Organization
NPI Issued
Dec 4, 2006 (19.705228708061 yrs)
Last Updated
Sep 19, 2025
Licenses
054.020600 (IL)
2099-43 (WI)
4394 (IA)

Practice Information

Address
5832 N KNOXVILLE AVE STE E
PEORIA, IL, 616144304
Browse IL providers · Browse ZIP 61614
Phone
3096792047
Fax
3096792051
Primary Specialty
Clinic Pharmacy
3336C0004X
Additional Specialty
Long-Term Care Pharmacy
Additional Specialty
Clinic Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.