Ann Kiley Developmental Center Unit 3162 in Waukegan - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ann Kiley Developmental Center Unit 3162 - NPI 1750418398
Ann Kiley Developmental Center Unit 3162 is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waukegan, Illinois. Ann Kiley Developmental Center Unit 3162 practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Ann Kiley Developmental Center Unit 3162 is 1750418398. The last update date is 2020-08-22.
Ann Kiley Developmental Center Unit 3162's current location address is 1401 W Dugdale Rd, Waukegan, Illinois. You can contact this provider via phone number 8472490600 and fax number 8472494587. The mailing address for Ann Kiley Developmental Center Unit 3162 is 1401 W Dugdale Rd, Waukegan, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Ann Kiley Developmental Center Unit 3162 |
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Address | 1401 W Dugdale Rd, Waukegan, Illinois |
Phone Number | 8472490600 |
Fax Number | 8472494587 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
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Authorized Official Name | Malhotra Pratihba |
Credentials | M.D. |
Telephone Number | 8472490600 |
NPI Number Detail
NPI Number | 1750418398 |
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Provider Enumeration Date | 2007-02-28 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1401 W Dugdale Rd |
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City | Waukegan |
State | Illinois (IL) |
Post Code | 600856263 |
Phone Number | 8472490600 |
Fax Number | 8472494587 |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Taxonomy | 320600000X |
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ann Kiley Developmental Center Unit 3162 by the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit 3162 has been issued the NPI (National Provider Identifier) 1750418398 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Ann Kiley Developmental Center Unit 3162 is physically located?
The Ann Kiley Developmental Center Unit 3162 is physically situated at the following address: 1401 W Dugdale Rd, Waukegan, IL, 600856263.
What is Ann Kiley Developmental Center Unit 3162's area of expertise and its corresponding taxonomy classification?
The Ann Kiley Developmental Center Unit 3162's field of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Ann Kiley Developmental Center Unit 3162 receive the assignment of its 1750418398 from the Centers for Medicare & Medicaid Services?
The Ann Kiley Developmental Center Unit 3162 was issued its 1750418398 by the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date were the details related to Ann Kiley Developmental Center Unit 3162 most recently updated or revised?
The information pertaining to Ann Kiley Developmental Center Unit 3162, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.