Elisabeth Ludeman Center in Park Forest - Intermediate Care Facility, Intellectual Disabilities
Elisabeth Ludeman Center - NPI 1760603120
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 1760603120. 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 | 1760603120 |
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Provider Enumeration Date | 2007-05-02 |
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 |
---|---|---|---|
950333001 | IL | -- |
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What is the unique 10-digit identification 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) 1760603120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Elisabeth Ludeman Center is physically 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 specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elisabeth Ludeman Center's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760603120 to Elisabeth Ludeman Center?
The Centers for Medicare & Medicaid Services originally issued the 1760603120 to Elisabeth Ludeman Center on 2007-05-02.
When was the information regarding Elisabeth Ludeman Center most recently updated?
The details pertaining to the Elisabeth Ludeman Center, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.