Elisabeth Ludeman Center in Park Forest - Intermediate Care Facility, Intellectual Disabilities
Elisabeth Ludeman Center - NPI 1962622043
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 1962622043. 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 | 1962622043 |
|---|---|
| Provider Enumeration Date | 2007-04-30 |
| 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 |
|---|---|---|---|
| 950222001 | 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) 1962622043 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Elisabeth Ludeman Center is geographically located?
The Elisabeth Ludeman Center is physically situated at the following location: 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.
On what date was the 1962622043 assigned to Elisabeth Ludeman Center?
The Elisabeth Ludeman Center was issued its 1962622043 on 2007-04-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Elisabeth Ludeman Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Elisabeth Ludeman Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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