Provider Demographics
NPI:1679211908
Name:PEAR TREE PEDIATRIC THERAPY INC
Entity Type:Organization
Organization Name:PEAR TREE PEDIATRIC THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLEMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-296-2800
Mailing Address - Street 1:3420 N 12000W RD
Mailing Address - Street 2:
Mailing Address - City:BONFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60913-7087
Mailing Address - Country:US
Mailing Address - Phone:708-296-2800
Mailing Address - Fax:815-426-1085
Practice Address - Street 1:3420 N 12000W RD
Practice Address - Street 2:
Practice Address - City:BONFIELD
Practice Address - State:IL
Practice Address - Zip Code:60913-7087
Practice Address - Country:US
Practice Address - Phone:708-296-2800
Practice Address - Fax:815-426-1085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2022-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty