Individual
KILEY BUGAIESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 665-2000
Mailing address
441 S MONTANA AVE, MORTON, IL 61550-2731
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041461698
IL
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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