Provider Demographics
NPI:1598077802
Name:BIG STEPS FOR LITTLE FEET
Entity Type:Organization
Organization Name:BIG STEPS FOR LITTLE FEET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:LENARD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:708-476-6273
Mailing Address - Street 1:6017 W 123RD ST
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1802
Mailing Address - Country:US
Mailing Address - Phone:708-476-6273
Mailing Address - Fax:708-371-6303
Practice Address - Street 1:6017 W 123RD ST
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1802
Practice Address - Country:US
Practice Address - Phone:708-476-6273
Practice Address - Fax:708-371-6303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.005015251E00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251E00000XAgenciesHome Health