WM. W. Fox Developmental Center
Organization
Active NPI
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Dwight, IL
NPI 1720122724 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1720122724
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- WM. W. FOX DEVELOPMENTAL CENTER
- Practice address
- 134 W Main St
Dwight, IL 60420-1322
- Phone
- (815) 584-3347
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Gus Pedraza
- Title
- Medical Director
- Phone
- (815) 584-3347
Corporate family (same tax ID) 24
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National Provider Directory
- Tax ID family
- Howe Center - Unit 4264 (292 organizations share this tax ID)
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility |
320600000X |
|
|
Yes |
Addresses
Primary practice location
134 W Main St
Dwight, IL 60420-1322
Mailing address
134 W Main St
Dwight, IL 60420-1322
Phone (815) 584-3347