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Elisabeth Ludeman Center

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Park Forest, IL

NPI 1306050992 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1306050992
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) 382-3020
NPI assigned
May 10, 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

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Howe Center - Unit 4264 (292 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000950449001MedicaidIL

Other names

  • House 49 Other name

Other providers in Park Forest, IL

All providers in Park Forest, IL · Intellectual Disabilities Intermediate Care Facility in Illinois

Sources for this page

Verify at the official NPI Registry.