Provider Demographics
NPI:1548399462
Name:TWO STEPS AHEAD PODIATRY, INC.
Entity Type:Organization
Organization Name:TWO STEPS AHEAD PODIATRY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NUCCIO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:630-406-1217
Mailing Address - Street 1:1001 E WILSON ST STE 180
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-3168
Mailing Address - Country:US
Mailing Address - Phone:630-406-1217
Mailing Address - Fax:630-406-6784
Practice Address - Street 1:1001 E WILSON ST STE 180
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-3168
Practice Address - Country:US
Practice Address - Phone:630-406-1217
Practice Address - Fax:630-406-6784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016-004543213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04532092OtherBCBS OF IL
IL480034904OtherRAILROAD MEDICARE
IL3176990OtherCIGNA
IL3176990OtherCIGNA
ILU31537Medicare UPIN
IL5083130001Medicare NSC