Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Wiese

Individual provider Pharmacist · NPI 1265889976

Kelly Wiese is a Pharmacist in New Lenox, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

2021 E Laraway Rd
New Lenox, IL 60451-9507
Phone: (815) 463-4954
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051288235 (IL)

Record details

NPI number1265889976
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 23, 2016
Last updated in NPPESMay 23, 2016

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