Provider Demographics
NPI:1558499186
Name:PAUL F HUGHES & ASSOCIATES LTD
Entity Type:Organization
Organization Name:PAUL F HUGHES & ASSOCIATES LTD
Other - Org Name:HUGHES PHYSICAL THERAPY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ALICE
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-935-2688
Mailing Address - Street 1:100 S CENTER STREET
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CLINTON
Mailing Address - State:IL
Mailing Address - Zip Code:61727-1958
Mailing Address - Country:US
Mailing Address - Phone:217-935-2688
Mailing Address - Fax:217-935-8239
Practice Address - Street 1:100 S CENTER STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:CLINTON
Practice Address - State:IL
Practice Address - Zip Code:61727-1958
Practice Address - Country:US
Practice Address - Phone:217-935-2688
Practice Address - Fax:217-935-8239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5815184OtherBLUECROSS BLUESHIELD
IL740822OtherHEALTHLINK
IL740822OtherHEALTHLINK