WM. W. FOX DEVELOPMENTAL CENTER (NPI# 1063566891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063566891 |
| Entity Type | Organization |
| Organization Name | WM. W. FOX DEVELOPMENTAL CENTER |
| Practice Address |
134 W Main St Dwight IL 60420-1322 |
| Practice Telephone | 8155843347 |
| Practice Fax Number | 8155843723 |
| Mailing Telephone | 8155843347 |
| Mailing Fax Number | 8155843723 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | ROBERT A PULVER (PHARMACY MANAGER) |
| Authorized Official Telephone | 8155843347 |
| Authorized Official Credential | RPH. |
| Is Organization Subpart | Y |
| Parent Organization Name | ILLINOIS DEPARTMENT OF HUMAN SEVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 282E00000X | Long Term Care Hospital | 059-006196 | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811031818 | Wm. W. Fox Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 134 W Main St, Dwight, IL 60420-1322 | 2007-02-16 |
| 1720122724 | Wm. W. Fox Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 134 W Main St, Dwight, IL 60420-1322 | 2007-02-16 |
| Street Address |
134 W MAIN ST |
| City | DWIGHT |
| State | IL |
| Zip Code | 60420-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932243920 | Wm. W. Fox Developmental Center 3a | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 134 W Main St, Dwight, IL 60420-1322 | 2007-02-16 |
| 1972647808 | Wm. W. Fox Developmental Center 1b | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 134 W Main St, Dwight, IL 60420-1322 | 2007-02-16 |
| 1811031818 | Wm. W. Fox Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 134 W Main St, Dwight, IL 60420-1322 | 2007-02-16 |
| 1720122724 | Wm. W. Fox Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 134 W Main St, Dwight, IL 60420-1322 | 2007-02-16 |
| 1639213630 | Wm. W. Fox Developmental Center 3c | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 134 W Main St, Dwight, IL 60420-1322 | 2007-02-16 |
| 1063556066 | Wm. W. Fox Developmental Center 3b | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 134 W Main St, Dwight, IL 60420-1322 | 2007-02-16 |
| 1710021696 | Wm. W. Fox Developmental Center 2c | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 134 W Main St, Dwight, IL 60420-1322 | 2007-02-16 |
| 1629112503 | Wm. W. Fox Developmental Center 1c | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 134 W Main St, Dwight, IL 60420-1322 | 2007-02-16 |
| 1841330693 | Suresh Vade | Family Medicine | 134 W Main St, Dwight, IL 60420-1322 | 2007-02-08 |
| 1265584155 | Illinois Department of Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 134 W Main St, Dwight, IL 60420-1322 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902149982 | Maulin G Shah | Family Medicine | 107 Watters Dr, Dwight, IL 60420 | 2013-03-28 |
| 1558446633 | Highland Park Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 106 Watters Dr, Dwight, IL 60420 | 2006-10-26 |
| 1861598997 | Cynthia Ann Humbert | Dentist | 413 E Mazon Ave, Dwight, IL 60420 | 2006-09-16 |
| 1851404313 | Mark A Passerman | Family Medicine | 101 S Prairie Ave, Dwight, IL 60420 | 2006-08-17 |
| 1528174489 | Bradford R Egly | Podiatrist | 108 W Main St, Dwight, IL 60420 | 2006-08-22 |
| 1558820829 | Laura E Lamere | Occupational Therapy Assistant | 215 E North St, Dwight, IL 60420-1051 | 2019-03-17 |
| 1982695029 | Heritage Manor Dwight, LLC | Durable Medical Equipment & Medical Supplies | 300 E Mazon Ave, Dwight, IL 60420-1104 | 2005-10-28 |
| 1194280024 | Matthew J Govednik | Physical Therapy Assistant | 300 E Mazon Ave, Dwight, IL 60420-1104 | 2019-02-05 |
| 1215346036 | Kelly Martin | Occupational Therapist | 300 E Mazon Ave, Dwight, IL 60420-1104 | 2014-08-06 |
| 1487061974 | Debra Wilder | Physical Therapy Assistant | 300 E Mazon Ave, Dwight, IL 60420-1104 | 2014-07-16 |
| Find all providers in zip 60420 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578720041 | Maryville Academy | Long Term Care Hospital | 4015 N Oak Park Ave Bldg B, Chicago, IL 60634-7197 | 2008-05-21 |
| 1861664013 | Pioneer Gardens Senior Housing Lp | Long Term Care Hospital | 3800 S King Dr, Chicago, IL 60653-1785 | 2008-03-27 |
| 1780769257 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 225 Edward St, Sycamore, IL 60178 | 2006-10-25 |
| 1578648028 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 4058 W Melrose St, Chicago, IL 60641 | 2006-10-25 |
| 1023192572 | Lynda Kerstin De La Cotera | Long Term Care Hospital | 211 Franklin Ave, River Forest, IL 60305-2115 | 2006-10-24 |
| 1447204375 | Genesis Health System | Long Term Care Hospital | 1455 Hospital Rd, Silvis, IL 61282-1834 | 2006-05-22 |
| 1952304826 | Rml Health Providers Limited Partnership | Long Term Care Hospital | 5601 South County Line Road, Hinsdale, IL 60521 | 2005-05-24 |
| 1508472804 | Kindred Chicago Northlake, LLC | Long Term Care Hospital | 365 E North Ave, Northlake, IL 60164-2628 | 2020-09-22 |
| 1821604125 | Kindred Chicago Northlake, LLC | Long Term Care Hospital | 2544 W Montrose Ave, Chicago, IL 60618-1537 | 2020-09-22 |
| 1700492014 | Kindred Thc North Shore, LLC | Long Term Care Hospital | 4058 W Melrose St, Chicago, IL 60641-4799 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.