WM. W. FOX DEVELOPMENTAL CENTER 1B
NPI 1972647808
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dwight, IL

Active since February 16, 2007
134 W MAIN ST, DWIGHT, IL 60420(815) 584-3347 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wm. W. Fox Developmental Center 1b NPPES

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

WM. W. FOX DEVELOPMENTAL CENTER 1B (NPI 1972647808) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Dwight, Illinois and active in the NPI registry since February 2007. The organization lists Gus Pedraza, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1972647808
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameWM. W. FOX DEVELOPMENTAL CENTER 1B
Location Address134 W MAIN STDwight, IL 60420-1322
Mailing Address134 W Main StDwight, IL 60420-1322
Organization SubpartNo
Authorized OfficialGus PedrazaMedical Director · (815) 584-3347
Enumeration DateFebruary 16, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1972647808 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.

134 W MAIN ST, Dwight, IL 60420

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
134 W MAIN ST
DWIGHT, IL 60420
Family Medicine
134 W MAIN ST
DWIGHT, IL 60420
Intermediate Care Facility, Intellectual Disabilities
134 W MAIN ST
DWIGHT, IL 60420
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
134 W MAIN ST
DWIGHT, IL 60420
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
134 W MAIN ST
DWIGHT, IL 60420
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
134 W MAIN ST
DWIGHT, IL 60420
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
134 W MAIN ST
DWIGHT, IL 60420
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
134 W MAIN ST
DWIGHT, IL 60420

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972647808, enumerated as an "organization" on February 16, 2007.

The provider is located at 134 W MAIN ST DWIGHT, IL 60420 and the phone number is (815) 584-3347.

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