Ann Kiley Developmental Center Unit 3265
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Waukegan, IL
Practice location
1401 W Dugdale RdWaukegan, IL 60085-6263
- Phone
- (847) 249-0600
- Fax
- (847) 249-4587
NPI record
- NPI
- 1578691002
- Entity type
- Organization (Type 2)
- Enumeration date
- February 28, 2007
- Last updated
- August 22, 2020
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X |
— | — |
Authorized official
- Name
- Dr. Pratihba Malhotra, M.D.
- Title
- Medical Director
- Phone
- (847) 249-0600
About Ann Kiley Developmental Center Unit 3265
Ann Kiley Developmental Center Unit 3265 is a healthcare organization registered in the NPI registry with the primary taxonomy Intellectual and/or Developmental Disabilities Residential Treatment Facility (code 320600000X). The practice location is 1401 W Dugdale Rd, Waukegan, IL 60085-6263. The NPI number 1578691002 was assigned on February 28, 2007 and the record was last updated on August 22, 2020.
The authorized official for this organization is Dr. Pratihba Malhotra, M.D., Medical Director.
Frequently asked questions
What is the NPI number of Ann Kiley Developmental Center Unit 3265?
The NPI number is 1578691002.
What is the phone number of Ann Kiley Developmental Center Unit 3265?
The phone number listed for the practice location is (847) 249-0600.
Where is Ann Kiley Developmental Center Unit 3265 located?
1401 W Dugdale Rd, Waukegan, IL 60085-6263.
What is the taxonomy code for Ann Kiley Developmental Center Unit 3265?
The primary taxonomy code is 320600000X – Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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