ANN KILEY DEVELOPMENTAL CENTER
NPI 1679639967
Intermediate Care Facility, Intellectual Disabilities in Waukegan, IL
About Ann Kiley Developmental Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANN KILEY DEVELOPMENTAL CENTER (NPI 1679639967) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Waukegan, Illinois and active in the NPI registry since December 2006. The organization lists Debra Muhlstadt, Fiscal Administrator, Sodc Operatio, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ann Kiley Developmental Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
45Medicare enrollment records show 45 clinicians reassign Medicare billing to Ann Kiley Developmental Center, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 45Maywood, IL 60153
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Illinois Department Of Human Sevices's NPI number?
The NPI number for Illinois Department Of Human Sevices is 1679639967. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is also known as Ann Kiley Developmental Center.
Where is Illinois Department Of Human Sevices located?
Illinois Department Of Human Sevices is located at 1401 W Dugdale Rd, Waukegan, IL 60085. The listed phone number is (847) 249-0600.
What is Illinois Department Of Human Sevices's specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
Is Illinois Department Of Human Sevices enrolled in Medicare?
Yes. Illinois Department Of Human Sevices is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Illinois Department Of Human Sevices?
According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 11 Medicare specialties reassign their Medicare billing to Illinois Department Of Human Sevices. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (13), Psychiatry (12) and Family Practice (5). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Illinois Department Of Human Sevices was last updated on December 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ann Kiley Developmental Center · NPI 1679639967
Intermediate Care Facility, Intellectual Disabilities organization in Waukegan, Illinois. Organization record, active in the CMS NPPES registry since December 29, 2006.
## Identity
- **NPI:** 1679639967 (Entity type: Organization)
- **Enumerated:** December 29, 2006
- **Primary specialty:** Intermediate Care Facility, Intellectual Disabilities · taxonomy 315P00000X
- **Legal business name:** Illinois Department Of Human Sevices
- **Organization subpart:** Yes (part of Illinois Department Of Human Services)
- **Authorized official:** Debra Muhlstadt, FISCAL ADMINISTRATOR, SODC OPERATIO
## Practice location
- **Address:** 1401 W DUGDALE RD, Waukegan, IL 60085
- **Phone:** (847) 249-0600 · **Fax:** (847) 249-0967
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 45 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (13), Psychiatry (12), Family Practice (5); 4 practice within 10 miles; [full list](https://npiprofile.com/npi/1679639967/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1679639967) · Data from the CMS NPPES public registry.