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General NPI Number Information
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NPI Number | 1942546056
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Entity Type | Individual
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Provider Name | KILEY ROBERTS P.A.-C
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Gender | Female
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Dates
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Enumeration Date | 12/17/2012
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 1425 N RANDALL RD
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City | ELGIN
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State | IL
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Zip | 60123-2300
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Country | US
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Telephone | 847-742-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 25 E. SCHAUMBURG ROAD
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City | SCHAUMBURG
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State | IL
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Zip | 60194
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Country | US
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Telephone | 847-985-9390
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9106754
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085004589
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License Number State | IL
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