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Illinois Department of Human Services — NPI 1265584155, Dwight, IL | NPI Central

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NPI 1265584155

OrganizationActive

Illinois Department of Human Services

NPI 1265584155 · Intellectual Disabilities Intermediate Care Facility · Dwight, IL

Provider details

NPI number: 1265584155
Entity type: Organization
Primary specialty: Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
Parent organization: Illinois Department of Human Services
Organization subpart: Yes
Authorized official: Debra Muhlstadt, Fiscal Administrator, Sodc Operatio(815) 288-8335

Specialties & taxonomies

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000X
Nursing & Custodial Care Facilities
Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000X
Residential Treatment Facilities

Practice location

134 W Main St

Dwight, IL 60420-1322

Phone: (815) 584-3347

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

134 W Main St

Dwight, IL 60420-1322

Other names (DBA / former)

Other name: Wm. W. Fox Developmental Center

Registry dates

Enumerated: 2007-01-18
Last updated: 2016-12-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.