Elisabeth Ludeman Center
Organization
Active NPI
Intellectual Disabilities Intermediate Care Facility · Park Forest, IL
NPI 1427262005 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1427262005
- 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 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
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Elgin Mental Health Center FTP H&I 4562 Psychiatric Hospital Unit · Elgin, IL · NPI 1477677235
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Elisabeth Ludeman Center Intellectual Disabilities Intermediate Care Facility · Park Forest, IL · NPI 1407069552
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Elisabeth Ludeman Center Intellectual Disabilities Intermediate Care Facility · Park Forest, IL · NPI 1427273028
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Elisabeth Ludeman Center Intellectual Disabilities Intermediate Care Facility · Park Forest, IL · NPI 1497976583
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Il Dept. of Human Services Psychiatric Hospital Unit · Chester, IL · NPI 1376678201
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Illinois Department of Human Long Term Care Pharmacy · Waukegan, IL · NPI 1457404667
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Illinois Department of Human Services Intellectual Disabilities Intermediate Care Facility · Dixon, IL · NPI 1376525204
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Illinois Department of Human Services Psychiatric Hospital · Chicago, IL · NPI 1407900343
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Illinois Department of Human Services Intellectual and/or Developmental Disabilities Residential Treatment Facility · Centralia, IL · NPI 1437294568
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Illinois Department of Human Services Intellectual and/or Developmental Disabilities Residential Treatment Facility · Centralia, IL · NPI 1447394325
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Unit 4466 Sycamore Hall Upper Intellectual and/or Developmental Disabilities Residential Treatment Facility · Anna, IL · NPI 1437281292
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Unit 4467 Cottage Complex Intellectual and/or Developmental Disabilities Residential Treatment Facility · Anna, IL · NPI 1457483240
National Provider Directory
- Tax ID family
- Howe Center - Unit 4264 (292 organizations share this tax ID)
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 |
| 000950452001 | Medicaid | IL | |