MEDICARE: BABY STEPS COUNSELING 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	252Y00000X	Early Intervention Provider Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	149013419	OTHER	IL	LCSW, STATE LICENCE

General Provider Information

NPI Number	:	1598138349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BABY STEPS COUNSELING INC

Provider Business Mailing Address
First Line	:	5730 N OCTAVIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-3064
Country	:	US
Telephone Number	:	773-594-9254
Fax Number	:

Provider Business Practice Location Address
First Line	:	5730 N OCTAVIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-3064
Country	:	US
Telephone Number	:	773-594-9254
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IRENE SUAREZ
Credential	:	LCSW
Telephone Number	:	773-594-9254

Provider Enumeration Date	:	11/02/2015
Last Update Date	:	11/02/2015

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Directions to “BABY STEPS COUNSELING INC ” Practice Location

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