OrganizationActive
Wm. W. Fox Developmental Center 1c
NPI 1629112503 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Dwight, IL
Provider details
- NPI number
- 1629112503
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gus Pedraza, Medical Director(815) 584-3347
Specialties & taxonomies
Residential Treatment Facilities
Practice location
134 W Main St
Dwight, IL 60420-1322
Phone: (815) 584-3347
Approximate (ZIP-level) locationGet directions
Mailing address
134 W Main St
Dwight, IL 60420-1322
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.