ANN KILEY DEVELOPMENTAL CENTER UNIT 3462 HOME32
NPI 1780712885
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 19, 2026.

About Ann Kiley Developmental Center Unit 3462 Home32 NPPES

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

ANN KILEY DEVELOPMENTAL CENTER UNIT 3462 HOME32 (NPI 1780712885) 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

NPI1780712885
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameANN KILEY DEVELOPMENTAL CENTER UNIT 3462 HOME32
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 1780712885 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.

Pediatrics
1401 W DUGDALE RD
WAUKEGAN, IL 60085
Pediatrics
1401 W DUGDALE RD
WAUKEGAN, IL 60085
Pharmacy (Long Term Care Pharmacy)
1401 W DUGDALE RD
WAUKEGAN, IL 60085
Intermediate Care Facility, Intellectual Disabilities
1401 W DUGDALE RD
WAUKEGAN, IL 60085
Pharmacy (Institutional Pharmacy)
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

The NPI number assigned to this healthcare provider is 1780712885, enumerated as an "organization" on March 01, 2007.

The provider is located at 1401 W DUGDALE RD WAUKEGAN, IL 60085 and the phone number is (847) 249-0600.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.