Provider Demographics
NPI:1568750107
Name:TREEHOUSE PEDIATRIC THERAPY P.C.
Entity Type:Organization
Organization Name:TREEHOUSE PEDIATRIC THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BHANPURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-622-6216
Mailing Address - Street 1:3020 BELLA COURT
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-1696
Mailing Address - Country:US
Mailing Address - Phone:630-541-3652
Mailing Address - Fax:
Practice Address - Street 1:3351 HOBSON RD
Practice Address - Street 2:SUITE B
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-1665
Practice Address - Country:US
Practice Address - Phone:312-622-6216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-18
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty