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WILLOWGLEN ACADEMY-IL
NPI 1386848299
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Freeport, IL

Active since June 13, 2007
3111 W KUNKLE BLVD, FREEPORT, IL 61032(815) 233-0406 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willowglen Academy-il NPPES

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

WILLOWGLEN ACADEMY-IL (NPI 1386848299) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Freeport, Illinois and active in the NPI registry since June 2007. The organization lists Elizabeth A Kinard, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1386848299
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameWILLOWGLEN ACADEMY-IL
Location Address3111 W KUNKLE BLVDFreeport, IL 61032-6922
Mailing Address701 W Lamm RdFreeport, IL 61032-9630 · (815) 233-6162 · Fax (815) 233-6167
Phone(815) 233-0406
Organization SubpartNo
Authorized OfficialElizabeth A KinardExecutive Director · (815) 233-6162
Enumeration DateJune 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386848299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in IL · 411197-03
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3111 W KUNKLE BLVD, Freeport, IL 61032
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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 Willowglen Academy-Il's NPI number?

The NPI number for Willowglen Academy-Il is 1386848299. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Willowglen Academy-Il located?

Willowglen Academy-Il is located at 3111 W Kunkle Blvd, Freeport, IL 61032. The listed phone number is (815) 233-0406.

What is Willowglen Academy-Il's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Willowglen Academy-Il was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.