Elisabeth Ludeman Center

NPI 1053535864 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1053535864
Enumeration Date 04/12/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RAJANI RAJANI
Position MEDICAL DIRECTOR
Phone (708) 283-3000
Fax (708) 283-3020
Practice Location
114 N ORCHARD DR
PARK FOREST IL, 60466-1200, US
Phone (708) 283-3000
Fax (708) 283-3020
Business Location
114 N ORCHARD DR
PARK FOREST IL, 60466-1200, US
Phone (708) 283-3000
Fax (708) 283-3020
Toxanomy
Taxonomy Code 315P00000X
License State
License Number
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According to our database, Elisabeth Ludeman Center NPI is 1053535864, taxonomy code is 315P00000X Elisabeth Ludeman Center physically located at 114 N Orchard Dr, Park Forest IL, 60466-1200. NPI Number 1033115704 has the healthcare provider type.

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1053535864 NPI number is provided on an as is basis without warranty of any kind. 1053535864 is maintained by the National Plan & Provider Enumeration System. The contents of Elisabeth Ludeman Center are for informational purposes only.