# ANN KILEY DEVELOPMENTAL CENTER UNIT 3167

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821125303
- **Authorized official:** DR. PRATIHBA MALHOTRA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (847) 249-0600

## Contact information

- **Practice address:** 1401 W DUGDALE RD, WAUKEGAN, IL 60085-6263
- **Practice address phone:** (847) 249-0600
- **Practice address fax:** (847) 249-4587
- **Mailing address:** 1401 W DUGDALE RD, WAUKEGAN, IL 60085-6263
- **Mailing address phone:** (847) 249-0600
- **Mailing address fax:** (847) 249-4587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 08/22/2020