ANN KILEY DEVELOPMENTAL CENTER UNIT 3162 NPI 1750418398

NPI Information

ANN KILEY DEVELOPMENTAL CENTER UNIT 3162 is a residential treatment facility, intellectual and/or developmental disabilities in Waukegan, IL. The provider is 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. ANN KILEY DEVELOPMENTAL CENTER UNIT 3162 NPI is 1750418398. The provider is registered as an organization entity type.

The provider's business location address is:

1401 W DUGDALE RD
WAUKEGAN, IL
ZIP 60085-263
Phone: (847) 249-0600
Fax: (847) 249-4587

The provider's authorized official is Pratihba Malhotra .
The authorized official title is Medical Director and has the following contact phone number (847) 249-0600.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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