=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558499186
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PAUL F HUGHES & ASSOCIATES LTD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 S CENTER STREET SUITE 201
-----------------------------------------------------
City | CLINTON
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61727-1958
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-935-2688
-----------------------------------------------------
Fax | 217-935-8239
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 S CENTER STREET SUITE 201
-----------------------------------------------------
City | CLINTON
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61727-1958
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-935-2688
-----------------------------------------------------
Fax | 217-935-8239
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SECRETARY TREASURER
-----------------------------------------------------
Name | MRS. MARY ALICE HUGHES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 217-935-2688
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------