Provider Demographics
NPI:1043515000
Name:KILE, ILONA (RN)
Entity type:Individual
Prefix:MS
First Name:ILONA
Middle Name:
Last Name:KILE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:ILONA
Other - Middle Name:
Other - Last Name:LAUZUMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2120 E MENLO BLVD
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:WI
Mailing Address - Zip Code:53211-2522
Mailing Address - Country:US
Mailing Address - Phone:414-628-5847
Mailing Address - Fax:
Practice Address - Street 1:2120 E MENLO BLVD
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:WI
Practice Address - Zip Code:53211-2522
Practice Address - Country:US
Practice Address - Phone:414-628-5847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI147483-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI147483-30OtherRN REGISTRATION