Ann Kiley Developmental Center Unit 3567 Home 47

NPI 1083742969 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1083742969
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 1083742969 NPI Number
 

According to our database, Ann Kiley Developmental Center Unit 3567 Home 47 NPI is 1083742969, taxonomy code is 320600000X Ann Kiley Developmental Center Unit 3567 Home 47 physically located at 1401 W Dugdale Rd, Waukegan IL, 60085-6263. NPI Number 1033115704 has the healthcare provider type.

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1083742969 NPI number is provided on an as is basis without warranty of any kind. 1083742969 is maintained by the National Plan & Provider Enumeration System. The contents of Ann Kiley Developmental Center Unit 3567 Home 47 are for informational purposes only.