Ann Kiley Developmental Center Unit 3361 Home 21

LBN: Ann Kiley Developmental Center Unit 3361 Home 21
Ann Kiley Developmental Center Unit 3361 Home 21 is an health care organization with primary practice located at 1401 W Dugdale Rd , Waukegan IL 60085-6263. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Ann Kiley Developmental Center Unit 3361 Home 21 can be contacted via phone (847) 249-0600, or through Malhotra, Prathba via phone (847) 249-0600.

Contact Information

Primary practice address
1401 W Dugdale Rd Waukegan IL 60085-6263
Phone: (847) 249-0600
Fax: (847) 249-4587
Website:
Map and Directions
Authorized official contact:
Name: Malhotra, Prathba Doctor of Medicine (MD)
Phone: (847) 249-0600

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1255469557
LBN Legal business name Ann Kiley Developmental Center Unit 3361 Home 21
DBA Doing business as
Authorized official Malhotra, Prathba Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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