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WILLOWGLEN ACADEMY ILLINOIS
NPI 1811449523
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Freeport, IL

Active since October 28, 2016
701 W LAMM RD, FREEPORT, IL 61032(815) 233-6162 Get Directions Write a Review

NPPES record last updated: October 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Willowglen Academy Illinois NPPES

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

WILLOWGLEN ACADEMY ILLINOIS (NPI 1811449523) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Freeport, Illinois and active in the NPI registry since October 2016. The organization lists Samantha Jo Cusimano, Qidp, as its authorized official.

NPPES Registry Identity

NPI1811449523
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameWILLOWGLEN ACADEMY ILLINOIS
Location Address701 W LAMM RDFreeport, IL 61032-9630
Mailing Address701 W Lamm RdFreeport, IL 61032-9630 · (815) 233-6162
Phone(815) 233-6162
Organization SubpartNo
Authorized OfficialSamantha Jo CusimanoQidp · (815) 233-6162
Enumeration DateOctober 28, 2016
✔ NPI 1811449523 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.
701 W LAMM RD, Freeport, IL 61032
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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.

MS. MONICA YOUNG
Counselor (Mental Health)
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162
STEPHEN AHO R.N.
Registered Nurse
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162
MS. IVORY D COOLEY RN
Registered Nurse
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162
MRS. CORA JEAN THREADGILL RN
Registered Nurse
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162
BROADSTEP ACADEMY-ILLINOIS INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162
SUSAN BURROW QIDP
Counselor (Mental Health)
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162
ROLAND EMEKA AGUOCHA QIDP
Social Worker (Clinical)
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162
CARRIE SNOW M.S. ED, QIDP
Counselor (School)
701 W LAMM RD
FREEPORT, IL 61032
Stephenson County (815) 233-6162

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 Illinois's NPI number?

The NPI number for Willowglen Academy Illinois is 1811449523. It was assigned to this organization in the NPPES registry on October 28, 2016.

Where is Willowglen Academy Illinois located?

Willowglen Academy Illinois is located at 701 W Lamm Rd, Freeport, IL 61032. The listed phone number is (815) 233-6162.

What is Willowglen Academy Illinois's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Willowglen Academy Illinois was last updated on October 28, 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.