Ann Kiley Developmental Center Unit 3564 Home 44

NPI 1053449074 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1053449074
Enumeration Date 03/01/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PRATIHBA PRATIHBA
Position MEDICAL DIRECTOR
Phone (847) 249-0600
Fax (847) 249-4587
Practice Location
1401 W DUGDALE RD
WAUKEGAN IL, 60085-6263, US
Phone (847) 249-0600
Fax (847) 249-4587
Business Location
1401 W DUGDALE RD
WAUKEGAN IL, 60085-6263, US
Phone (847) 249-0600
Fax (847) 249-4587
Toxanomy
Taxonomy Code 320600000X
License State
License Number
Remove 1053449074 NPI Number
 

According to our database, Ann Kiley Developmental Center Unit 3564 Home 44 NPI is 1053449074, taxonomy code is 320600000X Ann Kiley Developmental Center Unit 3564 Home 44 physically located at 1401 W Dugdale Rd, Waukegan IL, 60085-6263. NPI Number 1033115704 has the healthcare provider type.

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1053449074 NPI number is provided on an as is basis without warranty of any kind. 1053449074 is maintained by the National Plan & Provider Enumeration System. The contents of Ann Kiley Developmental Center Unit 3564 Home 44 are for informational purposes only.