Provider Demographics
NPI:1982212205
Name:STEPPIN STONE INC
Entity Type:Organization
Organization Name:STEPPIN STONE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPEATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:708-567-2053
Mailing Address - Street 1:7244 W BENTON DR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-9303
Mailing Address - Country:US
Mailing Address - Phone:708-567-5053
Mailing Address - Fax:815-464-9983
Practice Address - Street 1:7244 W BENTON DR
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-9303
Practice Address - Country:US
Practice Address - Phone:708-567-5053
Practice Address - Fax:815-464-9983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit