Organization Name: | IN STEP LTD |
NPI Number: | 1104853647 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE SPICER (PRESIDENT) |
Mailing Address: | 3330 W 177th St Ste 2d-1 Hazel Crest |
State: | IL US |
Postal Code: | 604292184 |
Phone Number: | 7089573338 |
Fax Number: | 7089574555 |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 04/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |