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Active NPI 1801470711 Individual Practitioner Female Practitioner

Dr. Kellye Michelle Eagan , PharmD

Pharmacist - Ambulatory Care • Bourbonnais, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kellye Eagan, PharmD is a registered healthcare professional specializing in Pharmacist - Ambulatory Care in Bourbonnais, IL. Practice services are available at 100 FITNESS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Fitness Dr

Bourbonnais, IL 609149584

Telephone 8159337671
Associated Practice Facility / Clinic
🏢 Henderson Chiropractic, S.c. Facility NPI 1750580999

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist - Ambulatory Care in Bourbonnais, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Bourbonnais, IL (100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-04
Pharmacist - Ambulatory Care Primary Specialty

NUCC Taxonomy Code: 1835P2201X

State License IL 051303581

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Arun Jagannathan , MD

Radiology - Vascular & Interventional Radiology

NPI 1891817961

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 21, 2023

Registered at 100 FITNESS DR, BOURBONNAIS, IL 609149584 (Tel: 8159337671)

📍
Updated Business Mailing Address December 01, 2023

Registered at 100 FITNESS DR, BOURBONNAIS, IL 609149584 (Tel: 8159331671)

NPI Profile Active May 06, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2021

Registered at 2301 E 93RD ST, CHICAGO, IL 606173913 (Tel: 7733568241)

📍
Updated Business Mailing Address May 06, 2021

Registered at 2301 E 93RD ST, CHICAGO, IL 606173913 (Tel: 7733568241)

👤
Provider Name / Credentials Updated May 06, 2021

Recorded as KELLYE EAGAN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2021

Pharmacist (License #051303581 in IL)

🟢
Initial NPI Registration & Enumeration May 06, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801470711
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2021
Last Update: December 21, 2023
Sole Proprietor: No

Mailing Address

100 Fitness Dr

Bourbonnais, IL 609149584

Phone: 8159331671

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.