Elisabeth Ludeman Center in Park Forest - Intermediate Care Facility, Intellectual Disabilities
Elisabeth Ludeman Center - NPI 1073734141
Elisabeth Ludeman Center is a Intermediate Care Facility, Intellectual Disabilities in Park Forest, Illinois. Elisabeth Ludeman Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Elisabeth Ludeman Center is 1073734141. The last update date is 2020-08-22.
Elisabeth Ludeman Center's current location address is 114 N Orchard Dr, Park Forest, Illinois. You can contact this provider via phone number 7082833000 and fax number 7082833020. The mailing address for Elisabeth Ludeman Center is 114 N Orchard Dr, Park Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elisabeth Ludeman Center |
|---|---|
| Address | 114 N Orchard Dr, Park Forest, Illinois |
| Phone Number | 7082833000 |
| Fax Number | 7082833020 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Patwari Rajani |
| Credentials | M.D. |
| Telephone Number | 7082833011 |
NPI Number Detail
| NPI Number | 1073734141 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 114 N Orchard Dr |
|---|---|
| City | Park Forest |
| State | Illinois (IL) |
| Post Code | 604661200 |
| Phone Number | 7082833000 |
| Fax Number | 7082833020 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 950343001 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Elisabeth Ludeman Center?
The Elisabeth Ludeman Center has been issued the NPI (National Provider Identifier) 1073734141 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Elisabeth Ludeman Center?
The Elisabeth Ludeman Center is situated at 114 N Orchard Dr, in the city of Park Forest, state of IL, with the zip code 604661200.
What is Elisabeth Ludeman Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elisabeth Ludeman Center is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.
When did Elisabeth Ludeman Center receive its 1073734141 assignment?
The Elisabeth Ludeman Center was assigned its 1073734141 on 2007-05-02, which is the date when this unique identifier was issued to the organization.
When was the information related to Elisabeth Ludeman Center most recently updated or refreshed?
The details pertaining to the Elisabeth Ludeman Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.