Provider Demographics
NPI:1144492125
Name:STEPPING STONES THERAPEUTICS, INC
Entity type:Organization
Organization Name:STEPPING STONES THERAPEUTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ESMERALDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:OTR'L
Authorized Official - Phone:773-454-7663
Mailing Address - Street 1:3236 S BELL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-6007
Mailing Address - Country:US
Mailing Address - Phone:773-454-7663
Mailing Address - Fax:773-927-9440
Practice Address - Street 1:3236 S BELL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-6007
Practice Address - Country:US
Practice Address - Phone:773-454-7663
Practice Address - Fax:773-927-9440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-30
Last Update Date:2008-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health