Ann Kiley Developmental Center

LBN: Illinois Department Of Human Sevices
Ann Kiley Developmental Center is an health care organization with primary practice located at 1401 W Dugdale Rd , Waukegan IL 60085. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Illinois Department Of Human Sevices can be contacted via phone (847) 249-0600, or through Muhlstadt, Debra via phone (815) 288-8335.

Contact Information

Primary practice address
1401 W Dugdale Rd Waukegan IL 60085
Phone: (847) 249-0600
Fax: (847) 249-0967
Website:
Map and Directions
Authorized official contact:
Name: Muhlstadt, Debra
Phone: (815) 288-8335

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X 036067892 Illinois
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1679639967
LBN Legal business name Illinois Department Of Human Sevices
DBA Doing business as Ann Kiley Developmental Center
Authorized official Muhlstadt, Debra
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 29th, 2006
Last updated Dec 22nd, 2016 - about 8 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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