Elisabeth Ludeman Center in Park Forest - Intermediate Care Facility, Intellectual Disabilities

Elisabeth Ludeman Center - NPI 1427273028

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 1427273028. 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 1427273028
Provider Enumeration Date 2007-04-17
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
950115001 IL --

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FAQs about Elisabeth Ludeman Center

What is the unique identifier code issued to Elisabeth Ludeman Center by the Centers for Medicare & Medicaid Services (CMS)?

The Elisabeth Ludeman Center has been assigned the NPI (National Provider Identifier) 1427273028. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Elisabeth Ludeman Center's facilities are situated?

The facilities of Elisabeth Ludeman Center are physically located at the following address: 114 N Orchard Dr, Park Forest, IL, 604661200.

What is Elisabeth Ludeman Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Elisabeth Ludeman Center is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1427273028 to Elisabeth Ludeman Center?

The Centers for Medicare & Medicaid Services originally issued the 1427273028 to Elisabeth Ludeman Center on 2007-04-17.

As of what date were the Elisabeth Ludeman Center's details last updated?

The information pertaining to the Elisabeth Ludeman Center, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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