institution
Illinois Department Of Human Sevices
Intellectual Disabilities Intermediate Care Facility in Waukegan, Illinois
NPI 1679639967

Illinois Department Of Human Sevices is a Intellectual Disabilities Intermediate Care Facility based in Northbrook, IL. Illinois Department Of Human Sevices practices in Waukegan, IL. The NPI Number for Illinois Department Of Human Sevices is 1679639967 and holds a License No. 036067892 (Illinois).

The current practice location address for Illinois Department Of Human Sevices is 1401 W Dugdale Rd, Waukegan, IL and can be reached out via phone at 847-249-0600 and via fax at 847-249-0967.

Location: 1401 W Dugdale Rd, Waukegan, IL, 60062
institution
Provider Profile Details
NPI Number
1679639967
Provider Name
Illinois Department Of Human Sevices
Credential
Provider Entity Type
Organization
Address
1401 W Dugdale Rd, Waukegan, IL, 60062
Phone Number
847-249-0600
Fax Number
847-249-0967
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1401 W Dugdale Rd
City
State
Zip
60085
Phone Number
847-249-0600
Fax Number
847-249-0967
person
Provider Business Mailing Address Details
Address
1401 W Dugdale Rd
City
State
Zip
60085
Phone Number
847-249-0600
Fax Number
847-249-0967
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
036067892 (Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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