MEDICARE: STEPPING STONES THERAPEUTICS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		IL

General Provider Information

NPI Number	:	1144492125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPPING STONES THERAPEUTICS, INC

Provider Business Mailing Address
First Line	:	3236 S BELL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-6007
Country	:	US
Telephone Number	:	773-454-7663
Fax Number	:	773-927-9440

Provider Business Practice Location Address
First Line	:	3236 S BELL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-6007
Country	:	US
Telephone Number	:	773-454-7663
Fax Number	:	773-927-9440

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	MS. ESMERALDA VAZQUEZ
Credential	:	OTR'L
Telephone Number	:	773-454-7663

Provider Enumeration Date	:	03/30/2008
Last Update Date	:	03/30/2008

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