Organization
HILLMANN PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA D MCNICHOLAS (BUS. MANAGER)
(815) 730-1800
Entity
Organization
Contact information
Practice address
860 CENTER COURT-UNIT C, SHOREWOOD, IL 60404
(815) 773-9000
(815) 773-9001
Mailing address
863 CENTER COURT UNIT D, SHOREWOOD, IL 60404
(815) 730-1800
(815) 730-1835
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
05/18/2021
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