ANN KILEY DEVELOPMENTAL CENTER UNIT 3567 HOME 47
NPI 1083742969
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Waukegan, IL

Active since March 01, 2007
1401 W DUGDALE RD, WAUKEGAN, IL 60085(847) 249-0600(847) 249-4587 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ann Kiley Developmental Center Unit 3567 Home 47 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANN KILEY DEVELOPMENTAL CENTER UNIT 3567 HOME 47 (NPI 1083742969) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Waukegan, Illinois and active in the NPI registry since March 2007. The organization lists Pratihba Malhotra, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1083742969
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameANN KILEY DEVELOPMENTAL CENTER UNIT 3567 HOME 47
Location Address1401 W DUGDALE RDWaukegan, IL 60085-6263
Mailing Address1401 W Dugdale RdWaukegan, IL 60085-6263 · (847) 249-0600 · Fax (847) 249-4587
Fax(847) 249-4587
Organization SubpartNo
Authorized OfficialPratihba MalhotraMedical Director · (847) 249-0600
Enumeration DateMarch 1, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1083742969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
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.

1401 W DUGDALE RD, Waukegan, IL 60085

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1401 W DUGDALE RD
WAUKEGAN, IL 60085
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1401 W DUGDALE RD
WAUKEGAN, IL 60085
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1401 W DUGDALE RD
WAUKEGAN, IL 60085
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1401 W DUGDALE RD
WAUKEGAN, IL 60085
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1401 W DUGDALE RD
WAUKEGAN, IL 60085
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1401 W DUGDALE RD
WAUKEGAN, IL 60085
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1401 W DUGDALE RD
WAUKEGAN, IL 60085
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1401 W DUGDALE RD
WAUKEGAN, IL 60085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ann Kiley Developmental Center Unit 3567 Home 47's NPI number?

The NPI number for Ann Kiley Developmental Center Unit 3567 Home 47 is 1083742969. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Ann Kiley Developmental Center Unit 3567 Home 47 located?

Ann Kiley Developmental Center Unit 3567 Home 47 is located at 1401 W Dugdale Rd, Waukegan, IL 60085. The listed phone number is (847) 249-0600.

What is Ann Kiley Developmental Center Unit 3567 Home 47's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Ann Kiley Developmental Center Unit 3567 Home 47 was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.