Dolan Central Illinois Compounding LLC
Dolan Central Illinois Compounding LLC is a healthcare organization registered as Compounding Pharmacy in Peoria, IL, holding Type 2 (organization) NPI 1093883290 since 2006. The authorized official on file is Corey Dolan, Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093883290 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dolan Central Illinois Compounding LLC |
| Other name | <Unavail> |
| Practice address | 5832 N KNOXVILLE AVE STE E, Peoria, IL, 61614 |
| Phone | 3096792047 |
| Fax | 3096792051 |
| Enumeration date | 2006-12-04 |
| Last updated in NPPES | 2025-09-19 |
Authorized official
| Name | Corey Dolan |
|---|---|
| Title | Pharmacist |
| Phone | 3096792047 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | 054.020600 | IL |
| 3336C0003X | Community/Retail Pharmacy | Secondary | 2099-43 | WI |
| 3336C0004X | Compounding Pharmacy | Primary | 4394 | IA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2175601 | Other | — | PK |
Copy-ready billing details
Provider: Dolan Central Illinois Compounding LLC NPI: 1093883290 Taxonomy: 3336C0004X (Compounding Pharmacy) Address: 5832 N KNOXVILLE AVE STE E, Peoria, IL, 61614
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568970556 | Dolan Central Illinois Compounding Pharmacy LLC | Organization | Pharmacist | Peoria, IL |
Verify this record
Cross-check NPI 1093883290 against the authoritative CMS record: view Dolan Central Illinois Compounding LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Dolan Central Illinois Compounding LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-19.