Ann Kiley Developmental Center Unit 3165
Ann Kiley Developmental Center Unit 3165 is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Waukegan, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1401 W Dugdale RdWaukegan, IL 60085-6263
Phone: (847) 249-0600
Fax: (847) 249-4587
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1164559621 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pratihba Malhotra — Medical Director · (847) 249-0600 |
| NPI enumerated | February 28, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1401 W Dugdale Rd, Waukegan, IL 60085-6263 |
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