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General NPI Number Information
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NPI Number | 1568331148
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Entity Type | Organization
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Legal Business Name | DR. NICHOLAS STEPNOSKI, DPM, PLLC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 10760 W 143RD ST STE 60
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City | ORLAND PARK
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State | IL
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Zip | 60462-1920
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Country | US
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Telephone | 708-301-5600
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Fax | 708-301-5602
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Provider Business Mailing Address
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Address Line | 3522 S WOOD ST
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City | CHICAGO
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State | IL
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Zip | 60609-1215
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Country | US
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Telephone | 219-789-5717
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NICHOLAS DANIEL STEPNOSKI
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Credential | DPM
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Telephone | 219-789-5717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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