MISS KELLEY DAGDICK
NPI 1093121840
Specialist in Round Lake, IL

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: July 19, 2026.

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
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

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 with the weekly NPPES data releases published by CMS.