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

Illinois Department of Human Services

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1376525204

Illinois Department of Human Services is an Intellectual Disabilities Intermediate Care Facility in Dixon, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005

Practice location Address checks out

1120 Washington Ave
Dixon, IL 61021-1258
Phone: (815) 288-8301
Fax: (815) 288-8398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 830600 (IL)

Record details

NPI number1376525204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Muhlstadt — Fiscal Administrator, Sodc Operatio · (815) 288-8335
Other names Jack Mabley Developmental Center
NPI enumeratedNovember 16, 2005
Last updated in NPPESDecember 22, 2016
Mailing address1120 Washington Ave, Dixon, IL 61021-1258

Other providers in Dixon