Organization Active NPI

In Step LTD

  • Foot & Ankle Surgery Podiatrist
  • Olympia Fields, IL
National Provider Identifier
1104853647
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
IN STEP LTD
Practice address
19900 Governors Dr Ste 102
Olympia Fields, IL 60461-1060
Phone
(708) 957-3338
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie Spicer, DPMNPI 1578593398
Title
President
Phone
(708) 957-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

19900 Governors Dr Ste 102
Olympia Fields, IL 60461-1060

Mailing address

11263 Stoll Rd
Frankfort, IL 60423-7987
Phone (708) 957-3338

Other practice location 1

3330 W 177th St Ste 2D-1
Hazel Crest, IL 60429-2184
Phone (708) 957-3338

Other identifiers 2

IdentifierTypeStateIssuer
1626972OtherILBLUE CROSS BLUE SHEILD
DN8726OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080303000074 IL Part B Supplier - Clinic/Group Practice 5092899963 Receives reassigned benefits from 2 practitioners
Practice locations: Olympia Fields, IL
O20100930091371 IL DME Supplier - Physician - Podiatry 5092899963 Practice locations: Olympia FLDS, IL

National Provider Directory

National Provider Directory

Locations

3330 W 177th St
Ste 201
Hazel Crest, IL 60429
Phone (708) 957-3338

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1104853647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11263 STOLL RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237987",
            "telephone_number": "708-957-3338",
            "fax_number": "708-957-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR STE 102",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611060",
            "telephone_number": "708-957-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 W 177th St Ste 2D-1",
            "address_purpose": "LOCATION",
            "city": "Hazel Crest",
            "state": "IL",
            "postal_code": "604292184",
            "country_code": "US",
            "telephone_number": "708-957-3338",
            "fax_number": "708-957-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IN STEP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-957-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "1626972",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN8726",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.