Illinois Department of Human Sevices
NPI 1679639967ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Waukegan, IL
Intermediate Care Facility, Intellectual Disabilities in Waukegan, Illinois, registered in NPPES in December 2006, part of Illinois Department of Human Services. The authorized official on file is Debra Muhlstadt, Fiscal Administrator, Sodc Operatio.
Overview
| NPI | 1679639967 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Illinois Department of Human Services |
| NPI issued | Dec 29, 2006 |
| Last updated in NPPES | Dec 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
| Clinic/Center, Developmental Disabilities | 261QD1600X | 036067892 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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