Provider Demographics
NPI:1104853647
Name:IN STEP LTD
Entity Type:Organization
Organization Name:IN STEP LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPICER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:708-957-3338
Mailing Address - Street 1:11263 STOLL RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-7987
Mailing Address - Country:US
Mailing Address - Phone:708-957-3338
Mailing Address - Fax:708-957-4555
Practice Address - Street 1:19900 GOVERNORS DR STE 102
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1060
Practice Address - Country:US
Practice Address - Phone:708-957-3338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1626972OtherBLUE CROSS BLUE SHEILD
ILDN8726OtherRAILROAD MEDICARE
ILDN8726OtherRAILROAD MEDICARE
IL4024810001Medicare NSC