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DIXON PRADER WILLI GROUP HOME
NPI 1669645040
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dixon, IL

Active since April 08, 2008
314 S OTTAWA AVE, DIXON, IL 61021(815) 288-4108(815) 288-2934 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dixon Prader Willi Group Home NPPES

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

DIXON PRADER WILLI GROUP HOME (NPI 1669645040) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Dixon, Illinois and active in the NPI registry since April 2008. The organization lists Jerry Noonan, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1669645040
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameLUTHERAN SOCIAL SERVICES OF ILLINOIS
Location Address314 S OTTAWA AVEDixon, IL 61021-3150
Mailing Address1001 E Touhy Ave, Suite 170Des Plaines, IL 60018-5801 · (847) 635-4600 · Fax (847) 297-3407
Phone(815) 288-4108
Fax(815) 288-2934
Organization SubpartNo
Authorized OfficialJerry NoonanChief Financial Officer · (847) 635-4600
Enumeration DateApril 8, 2008
✔ NPI 1669645040 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 · 926169
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
314 S OTTAWA AVE, Dixon, IL 61021
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Other Names 1

Other NameDixon Prader Willi Group Home

Other Identifiers 1

Other926169IL · Dept Of Human Services

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 Lutheran Social Services Of Illinois's NPI number?

The NPI number for Lutheran Social Services Of Illinois is 1669645040. It was assigned to this organization in the NPPES registry on April 8, 2008. The provider is also known as Dixon Prader Willi Group Home.

Where is Lutheran Social Services Of Illinois located?

Lutheran Social Services Of Illinois is located at 314 S Ottawa Ave, Dixon, IL 61021. The listed phone number is (815) 288-4108.

What is Lutheran Social Services Of Illinois'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 Lutheran Social Services Of Illinois was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.