Organization
KILEY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LJ HOKE RPH (PHRM MANG)
(847) 249-0600
Entity
Organization
Contact information
Practice address
1401 W DUGDALE RD, WAUKEGAN, IL 60085-6263
(847) 249-0600
(847) 249-0112
Mailing address
1401 W DUGDALE RD, WAUKEGAN, IL 60085-6263
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1480401
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/15/2007
Last updated
08/22/2020
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