1154669935 NPI number — LEMON TREE PEDIATRIC THERAPY SERVICES, INC

Table of content: (NPI 1154669935)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154669935 NPI number — LEMON TREE PEDIATRIC THERAPY SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEMON TREE PEDIATRIC THERAPY SERVICES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154669935
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7753 VANBUREN ST #317
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FOREST PARK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60130
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
708-351-5429
Provider Business Mailing Address Fax Number:
855-529-1595

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7753 VANBUREN ST
Provider Second Line Business Practice Location Address:
UNIT 317
Provider Business Practice Location Address City Name:
FOREST PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60130-4802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-351-5429
Provider Business Practice Location Address Fax Number:
855-529-1595
Provider Enumeration Date:
01/29/2013

Additional Information

Authorized Official

Authorized Official Last Name:
LEMON
Authorized Official First Name:
DANIELLE
Authorized Official Middle Name:
JEAN
Authorized Official Title or Position:
OCCUPATIONAL THERAPIST
Authorized Official Telephone Number:
708-351-5429

Provider Taxonomy Codes

  • Taxonomy code: 252Y00000X , with the licence number:  056007887 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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