Individual
ASHLEY CERULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12261 W 159TH ST, HOMER GLEN, IL 60491-7847
(708) 301-2255
Mailing address
12261 W 159TH ST, HOMER GLEN, IL 60491-7847
(708) 301-2255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01190975
MEDICARE RR
IL
01
—
P01285698
MEDICARE RAILROAD
IL
Enumeration date
07/11/2012
Last updated
12/10/2019
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