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

Elisabeth Ludeman Center - NPI 1982817011

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 1982817011. 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 1982817011
Provider Enumeration Date 2007-05-07
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
950456001 IL --

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FAQs about Elisabeth Ludeman Center

What is the unique identification code assigned to Elisabeth Ludeman Center by the Centers for Medicare & Medicaid Services?

The Elisabeth Ludeman Center has been issued the NPI (National Provider Identifier) 1982817011. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

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 specialized field of practice, and what is the corresponding taxonomy classification code?

The Elisabeth Ludeman Center's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.

On what date did the Elisabeth Ludeman Center receive its 1982817011 assignment from the Centers for Medicare & Medicaid Services?

The Elisabeth Ludeman Center was assigned its 1982817011 by the Centers for Medicare & Medicaid Services on 2007-05-07.

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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