# ULTIMUS MANAGEMENT-IL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447818166
- **Authorized official:** RICHARD AUSTIN DUUS CPA (CFO)
- **Authorized official phone:** (609) 509-2388

## Contact information

- **Practice address:** 920 S SPRING ST, SPRINGFIELD, IL 62704-2725
- **Practice address phone:** (609) 509-2388
- **Mailing address:** 132 PEARLCROFT RD, CHERRY HILL, NJ 08034-3334
- **Mailing address phone:** (609) 509-2388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | — | NULL | Yes |
| 2251G0304X | Geriatric Physical Therapist | — | — | Yes |
| 225XG0600X | Gerontology Occupational Therapist | — | NULL | — |
| 225XG0600X | Gerontology Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 05/29/2019
- **Last updated:** 05/29/2019
