Elisabeth Ludeman Center
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Park Forest, IL
NPI 1124249149 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124249149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- ELISABETH LUDEMAN CENTER
- Practice address
- 114 N Orchard Dr
Park Forest, IL 60466-1200 - Phone
- (708) 283-3000
- Fax
- (708) 283-3020
- NPI assigned
- May 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Rajani Patwari, M.D.
- Title
- Medical Director
- Phone
- (708) 283-3011
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Howe Center - Unit 4264
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | IL | Yes |
Addresses
Primary practice location
114 N Orchard Dr
Park Forest, IL 60466-1200
Mailing address
114 N Orchard Dr
Park Forest, IL 60466-1200
Phone (708) 283-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000950330001 | Medicaid | IL |
Other names
- House 30
Other providers in Park Forest, IL
- Elianak Care LLC
- Elisabeth Ludeman Center
- Elisabeth Ludeman Center
- Elisabeth Ludeman Center
- Elisabeth Ludeman Center
- Elisabeth Ludeman Center
- Elisabeth Ludeman Center
- Elisabeth Ludeman Center
- Elisabeth Ludeman Center
- Elisabeth Ludeman Center
All providers in Park Forest, IL · Intellectual Disabilities Intermediate Care Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.