Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ann Kiley Developmental Center Unit 3369 Home 29

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1306974589

Ann Kiley Developmental Center Unit 3369 Home 29 is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Waukegan, Illinois. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

1401 W Dugdale Rd
Waukegan, 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 number1306974589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pratihba Malhotra — Medical Director · (847) 249-0600
NPI enumeratedMarch 1, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1401 W Dugdale Rd, Waukegan, IL 60085-6263

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