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Contact Information

KISHWAUKEE COMMUNITY HOSPITAL
1 KISH HOSPITAL DR
DEKALB, IL60115-9602
 Phone: 815-748-8381
 Fax: 815-748-2980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KISHWAUKEE COMMUNITY HOSPITAL

NPI Number 1356529648
LBN Legal business name KISHWAUKEE COMMUNITY HOSPITAL
Authorized official THOMAS WARZECHA - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2008
Last updated 09/19/2025 - About 9 months ago
Identifiers
IL License # 054.017010
IL Medicaid 4006
Other 2017653 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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