Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ANN KILEY DEVELOPMENTAL CENTER UNIT 3561 HOME 41
Active
Organization
ANN KILEY DEVELOPMENTAL CENTER UNIT 3561 HOME 41
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRATIHBA MALHOTRA M.D. (MEDICAL DIRECTOR)
(847) 249-0600
Entity
Organization
Contact information
Practice address
1401 W DUGDALE RD, WAUKEGAN, IL 60085-6263
(847) 249-0600
(847) 249-4587
Mailing address
1401 W DUGDALE RD, WAUKEGAN, IL 60085-6263
(847) 249-0600
(847) 249-4587
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up