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Contact Information

ULTIMUS MANAGEMENT-IL LLC
920 S SPRING ST
SPRINGFIELD, IL62704-2725
 Phone: 609-509-2388
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ULTIMUS MANAGEMENT IL LLC · (Female)

NPI # 1447818166
Status Active
Credentials
Entity Individual
Enumeration date 05/29/2019
Last updated 05/29/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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