Provider Demographics
NPI:1821672015
Name:NAVIGATING FOOTSTEPS
Entity Type:Organization
Organization Name:NAVIGATING FOOTSTEPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DT
Authorized Official - Prefix:
Authorized Official - First Name:SHUKRIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JUDON
Authorized Official - Suffix:
Authorized Official - Credentials:DT
Authorized Official - Phone:773-960-8403
Mailing Address - Street 1:25646 S KENSINGTON LN
Mailing Address - Street 2:
Mailing Address - City:MONEE
Mailing Address - State:IL
Mailing Address - Zip Code:60449-7201
Mailing Address - Country:US
Mailing Address - Phone:773-960-8403
Mailing Address - Fax:
Practice Address - Street 1:25646 S KENSINGTON LN
Practice Address - Street 2:
Practice Address - City:MONEE
Practice Address - State:IL
Practice Address - Zip Code:60449-7201
Practice Address - Country:US
Practice Address - Phone:773-960-8403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty