NPI 1053449074

Ann Kiley Developmental Center Unit 3564 Home 44

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Waukegan, IL

Practice location

Address: 1401 W Dugdale Rd, Waukegan, IL 60085-6263
Phone: (847) 249-0600
Fax: (847) 249-4587

Authorised official

Name: Pratihba Malhotra
Title: Medical Director
Phone: (847) 249-0600

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Illinois →

Registry record

NPI: 1053449074
Entity type: Organization
NPI issued: 1 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.