| Organization Name: | HILLMANN PEDIATRIC THERAPY |
| NPI Number: | 1285901751 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDA HILLMANN (OWNER) |
| Mailing Address: | 941 6th St La Salle |
| State: | IL US |
| Postal Code: | 613012205 |
| Phone Number: | 8152243261 |
| Fax Number: | 8152244512 |
| NPI Enumeration Date: | 11/28/2011 |
| NPI Last Update Date: | 11/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | 057003453 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |