Elisabeth Ludeman Center in Park Forest - Intermediate Care Facility, Intellectual Disabilities
Elisabeth Ludeman Center - NPI 1942413059
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 1942413059. 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 | 1942413059 |
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Provider Enumeration Date | 2007-05-07 |
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 |
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950453001 | IL | -- |
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What is the Elisabeth Ludeman Center's unique identification number?
The Elisabeth Ludeman Center has been assigned the NPI (National Provider Identifier) Number 1942413059 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Elisabeth Ludeman Center?
The Elisabeth Ludeman Center is physically situated at 114 N Orchard Dr, in the city of Park Forest, state of IL, with the postal code 604661200.
What is Elisabeth Ludeman Center's area of expertise and its corresponding taxonomy classification?
The Elisabeth Ludeman Center's field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
When did Elisabeth Ludeman Center receive its 1942413059 assignment?
The Elisabeth Ludeman Center was assigned its 1942413059 on 2007-05-07, which is the date when this unique identifier was issued to the organization.
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.