Individual provider · Type 1 NPI
Kiley Bugaieski
General Practice Registered Nurse · Peoria, IL
NPI number
1013845122
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
441 S Montana Ave
Morton, IL 61550-2731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 041461698 (IL) |
General Practice Registered Nurse: Definition to come...
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About NPI 1013845122
Kiley Bugaieski's National Provider Identifier is 1013845122, issued on May 11, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Peoria, IL. The record was last updated on May 11, 2026.