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STATE OF ILLINOIS
NPI 1841320702
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Park Forest, IL

Active since March 07, 2007
114 N ORCHARD DR, PARK FOREST, IL 60466(708) 283-3000(708) 283-3020 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About State Of Illinois NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE OF ILLINOIS (NPI 1841320702) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Park Forest, Illinois and active in the NPI registry since March 2007. The organization lists David I Decker, Center Director, as its authorized official.

NPPES Registry Identity

NPI1841320702
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business Name0014 ELISABETH LUDEMAN CENTER
Location Address114 N ORCHARD DRPark Forest, IL 60466-1200
Mailing Address114 N Orchard DrPark Forest, IL 60466-1200 · (708) 283-3000 · Fax (708) 283-3020
Phone(708) 283-3000
Fax(708) 283-3020
Organization SubpartNo
Authorized OfficialDavid I DeckerCenter Director · (708) 283-3001
Enumeration DateMarch 7, 2007
Last NPPES UpdateJune 13, 2008
✔ NPI 1841320702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

114 N ORCHARD DR, Park Forest, IL 60466
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Other Names 1

Other NameState Of Illinois

Other Identifiers 1

Medicaid000950014000IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LUISITO PEREZ BENIN M.D.
Family Medicine
114 N ORCHARD DR
PARK FOREST, IL 60466
Cook County (708) 283-3018
SUSAN A PACA M.D.
Family Medicine
114 N ORCHARD DR
PARK FOREST, IL 60466
Cook County (708) 283-3018
0013 ELISABETH LUDEMAN CENTER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
114 N ORCHARD DR
PARK FOREST, IL 60466
Cook County (708) 283-3000
DR. NADER N. TOBIA M.D.
Internal Medicine
114 N ORCHARD DR
PARK FOREST, IL 60466
Cook County (708) 283-3384
LUDEMAN HUB PHARMACY
Pharmacy (Long Term Care Pharmacy)
114 N ORCHARD DR
PARK FOREST, IL 60466
Cook County (708) 283-3262
ILLINOIS DEPARTMENT OF HUMAN SERVICES
Intermediate Care Facility, Intellectual Disabilities
114 N ORCHARD DR
PARK FOREST, IL 60466
Cook County (708) 283-3000
ELISABETH LUDEMAN CENTER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
114 N ORCHARD DR
PARK FOREST, IL 60466
Cook County (708) 283-3018
ELISABETH LUDEMAN CENTER
Intermediate Care Facility, Intellectual Disabilities
114 N ORCHARD DR
PARK FOREST, IL 60466
Cook County (708) 283-3018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 0014 Elisabeth Ludeman Center's NPI number?

The NPI number for 0014 Elisabeth Ludeman Center is 1841320702. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is also known as State Of Illinois.

Where is 0014 Elisabeth Ludeman Center located?

0014 Elisabeth Ludeman Center is located at 114 N Orchard Dr, Park Forest, IL 60466. The listed phone number is (708) 283-3000.

What is 0014 Elisabeth Ludeman Center's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for 0014 Elisabeth Ludeman Center was last updated on June 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.