Elisabeth Ludeman Center in Park Forest - Intermediate Care Facility, Intellectual Disabilities
Elisabeth Ludeman Center - NPI 1659593234
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 1659593234. 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 |
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Address | 114 N Orchard Dr, Park Forest, Illinois |
Phone Number | 7082833000 |
Fax Number | 7082833020 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
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Authorized Official Name | Patwari Rajani |
Credentials | M.D. |
Telephone Number | 7082833011 |
NPI Number Detail
NPI Number | 1659593234 |
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Provider Enumeration Date | 2007-05-03 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 114 N Orchard Dr |
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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 |
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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 |
---|---|---|---|
950219001 | IL | -- |
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What is the unique identifier code issued to Elisabeth Ludeman Center by the Centers for Medicare & Medicaid Services?
The Elisabeth Ludeman Center has been assigned the NPI (National Provider Identifier) 1659593234. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Elisabeth Ludeman Center is located?
The Elisabeth Ludeman Center is situated at the following address: 114 N Orchard Dr, Park Forest, IL, 604661200.
What is Elisabeth Ludeman Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elisabeth Ludeman Center is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
When did the Elisabeth Ludeman Center receive its 1659593234?
The Elisabeth Ludeman Center was issued its 1659593234 on 2007-05-03, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Elisabeth Ludeman Center most recently updated or revised?
The information pertaining to Elisabeth Ludeman Center, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.