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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649535196 NPPES
Illinois Other P01190975 MEDICARE RR
Illinois Other P01285698 MEDICARE RR

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