ANN KILEY DEVELOPMENTAL CENTER UNIT 3563 HOME 43
NPI 1790813715
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Waukegan, IL

Q: What is the provider's specialty?

The provider's specialty is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

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.

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NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
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Organization
Residential Treatment Facility, Intellec...

About ANN KILEY DEVELOPMENTAL CENTER UNIT 3563 HOME 43

This page provides the complete NPI Profile along with additional information for Ann Kiley Developmental Center Unit 3563 Home 43, a provider established in Waukegan, Illinois operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1790813715 assigned on March 2007. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Pratihba Malhotra M.d. (Medical Director)

NPI: 1790813715 Verify this NPI
Provider Name: ANN KILEY DEVELOPMENTAL CENTER UNIT 3563 HOME 43
Entity Type: Organization
Location Address: 1401 W DUGDALE RD WAUKEGAN, IL 60085
Location Phone: (847) 249-0600
Location Fax: (847) 249-4587
Mailing Address: 1401 W DUGDALE RD WAUKEGAN, IL 60085
Mailing Phone: (847) 249-0600
Mailing Fax: (847) 249-4587
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-01-2007
Last Update Date: 08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Taxonomy Code: 320600000X
Type: Residential Treatment Facilities
Taxonomy Description: 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. PRATIHBA MALHOTRA M.D.
Authorized Official Title: MEDICAL DIRECTOR
Authorized Official Phone: (847) 249-0600