OrganizationActive
Ann Kiley Developmental Center Unit 3562 Home 42
NPI 1649308651 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Waukegan, IL
Provider details
- NPI number
- 1649308651
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Pratihba Malhotra, Medical Director(847) 249-0600
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1401 W Dugdale Rd
Waukegan, IL 60085-6263
Phone: (847) 249-0600
Fax: (847) 249-4587
Street-level locationGet directions
Mailing address
1401 W Dugdale Rd
Waukegan, IL 60085-6263
Registry dates
- Enumerated
- 2007-03-01
- 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.