MISS KELLEY DAGDICK
NPI 1093121840
Specialist in Round Lake, IL

Q: What is Kelley Dagdick's NPI number?

The NPI number for Kelley Dagdick is 1093121840. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Q: What is Kelley Dagdick's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Dagdick was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 01, 2014

415 W PARK AVE, ROUND LAKE, IL 60073(847) 401-4198 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Miss Kelley Dagdick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KELLEY DAGDICK (NPI 1093121840) is an individual specialist in Round Lake, Illinois and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1093121840

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMISS KELLEY DAGDICK

Location Address415 W PARK AVERound Lake, IL 60073-3225

Mailing Address415 W Park AveRound Lake, IL 60073-3225

Phone(847) 401-4198

Sole ProprietorYes

Enumeration DateJuly 1, 2014

✔ NPI 1093121840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

415 W PARK AVE, Round Lake, IL 60073

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Dagdick's NPI number?

The NPI number for Kelley Dagdick is 1093121840. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Kelley Dagdick located?

Kelley Dagdick practices at 415 W Park Ave, Round Lake, IL 60073. The listed phone number is (847) 401-4198.

What is Kelley Dagdick's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelley Dagdick was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.