NPI 1104047281

Elisabeth Ludeman Center

Organisation Intellectual Disabilities Intermediate Care Facility Park Forest, IL

Practice location

Address: 114 N Orchard Dr, Park Forest, IL 60466-1200
Phone: (708) 283-3000
Fax: (708) 283-3020

Authorised official

Name: Rajani Patwari
Title: Medical Director
Phone: (708) 283-3011

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Illinois →

Registry record

NPI: 1104047281
Entity type: Organization
NPI issued: 2 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.