Kiley, Philip J

Kiley, Philip J is an individual health care provider with primary practice located at 199 W. Rand Road , Mount Prospect IL 60056-1129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kiley, Philip J can be contacted via phone (847) 618-5450.

Contact Information

Primary practice address
199 W. Rand Road Mount Prospect IL 60056-1129
Phone: (847) 618-5450
Fax: (847) 618-5459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036091350 Illinois

Profile Details

NPI number 1245211366
LBN Legal business name Kiley, Philip J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Apr 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245211366 NPPES
Illinois Other 01632723 BCBS
Illinois MEDICAID 036091350 BCBS

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