Organization
UNLIMITED MOBILITY THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER DANIELLE BRIM P.T. (OWNER)
(708) 799-5569
Entity
Organization
Contact information
Practice address
18430 GOVERNORS HWY, HOMEWOOD, IL 60430-2911
(708) 799-5569
(708) 799-5618
Mailing address
18428 GOVERNORS HWY, HOMEWOOD, IL 60430-2911
(708) 799-5569
(708) 799-5618
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635359
BLUE SHIELD PROVIDER #
IL
05
—
346802184001
—
IL
Enumeration date
01/08/2007
Last updated
01/28/2015
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