0014 Elisabeth Ludeman Center
0014 Elisabeth Ludeman Center is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Park Forest, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
114 N Orchard DrPark Forest, IL 60466-1200
Phone: (708) 283-3000
Fax: (708) 283-3020
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X (IL) |
|---|
Record details
| NPI number | 1841320702 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Decker — Center Director · (708) 283-3001 |
| Other names | State Of Illinois |
| NPI enumerated | March 7, 2007 |
| Last updated in NPPES | June 13, 2008 |
| Mailing address | 114 N Orchard Dr, Park Forest, IL 60466-1200 |
Other providers in Park Forest
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0013 Elisabeth Ludeman Center
114 N Orchard Dr, Park Forest, IL 60466-1200 · (708) 283-3000
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Elisabeth Ludeman Center
114 N Orchard Dr, Park Forest, IL 60466-1200 · (708) 283-3018