Healthcare Provider Details

I. General information

NPI: 1477616282
Provider Name (Legal Business Name): STEPPING STONES EARLY INTERVENTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14466 PINEWOOD DR
ORLAND PARK IL
60467-7112
US

IV. Provider business mailing address

14466 PINEWOOD DR
ORLAND PARK IL
60467-7112
US

V. Phone/Fax

Practice location:
  • Phone: 708-466-3347
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name: SHILPA SHARMA
Title or Position: MANAGER
Credential:
Phone: 708-466-3347