Cerullo, Ashley
Cerullo, Ashley is an individual health care provider with primary practice located at 12261 W 159Th St , Homer Glen IL 60491-7847. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cerullo, Ashley can be contacted via phone (708) 301-2255.Contact Information
Primary practice address
12261 W 159Th St
Homer Glen IL 60491-7847
Phone: (708) 301-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1649535196 |
|---|---|
| LBN Legal business name | Cerullo, Ashley |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2012 |
| Last updated | Dec 10th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649535196 | NPPES |
| Illinois | Other | P01190975 | MEDICARE RR |
| Illinois | Other | P01285698 | MEDICARE RR |
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