Illinois Department of Human Sevices
NPI 1679639967 · Intellectual Disabilities Intermediate Care Facility · Waukegan, IL
Illinois Department of Human Sevices is a Intellectual Disabilities Intermediate Care Facility organization in Waukegan, IL (NPI 1679639967).
Provider details
- NPI number
- 1679639967
- 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
- License
- 036067892 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Other name
- Ann Kiley Developmental Center
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2016-12-22
Frequently asked questions
- What is Illinois Department of Human Sevices's NPI number?
- Illinois Department of Human Sevices's National Provider Identifier (NPI) is 1679639967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illinois Department of Human Sevices?
- Illinois Department of Human Sevices is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Illinois Department of Human Sevices located?
- Illinois Department of Human Sevices's practice location on file with NPPES is 1401 W Dugdale Rd, Waukegan, IL 60085.
- What is Illinois Department of Human Sevices's phone number?
- The practice phone number listed in the NPPES registry for Illinois Department of Human Sevices is (847) 249-0600.
- Who is the authorized official for Illinois Department of Human Sevices?
- The authorized official listed on Illinois Department of Human Sevices's NPPES record is Debra Muhlstadt, Fiscal Administrator, Sodc Operatio. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illinois Department of Human Sevices's NPI active?
- Yes — Illinois Department of Human Sevices's NPI (1679639967) is active in the NPPES registry as of the last update on 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.