Organization
ULTIMUS MANAGEMENT-IL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD AUSTIN DUUS CPA (CFO)
(609) 509-2388
Entity
Organization
Contact information
Practice address
920 S SPRING ST, SPRINGFIELD, IL 62704-2725
(609) 509-2388
Mailing address
132 PEARLCROFT RD, CHERRY HILL, NJ 08034-3334
(609) 509-2388
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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