0014 Elisabeth Ludeman Center
NPI #1841320702 in Park Forest, Illinois
Provider Information
- NPI Number
- 1841320702
- Entity Type
- Organization
- Organization Name
- 0014 Elisabeth Ludeman Center
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 7, 2007
- Last Updated
- Jun 13, 2008
Practice Location
- Address
- 114 N ORCHARD DR
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466-1200
- Phone
- (708) 283-3000
Authorized Official
- Name
- MR. DAVID I DECKER
- Title
- CENTER DIRECTOR
- Phone
- (708) 283-3001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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