Provider Demographics
NPI:1932219193
Name:LITTLE STEPS PEDIATRIC THERAPIES, INC
Entity Type:Organization
Organization Name:LITTLE STEPS PEDIATRIC THERAPIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CANDANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRABILL
Authorized Official - Suffix:
Authorized Official - Credentials:MA/CCC-SLP
Authorized Official - Phone:630-220-4867
Mailing Address - Street 1:159 N MARION ST
Mailing Address - Street 2:#257
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1032
Mailing Address - Country:US
Mailing Address - Phone:630-220-4867
Mailing Address - Fax:630-597-4374
Practice Address - Street 1:159 N MARION ST
Practice Address - Street 2:#257
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1032
Practice Address - Country:US
Practice Address - Phone:630-220-4867
Practice Address - Fax:630-597-4374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01634283OtherBLUE CROSS BLUE SHIELD