Active NPI
In Step LTD
- Foot & Ankle Surgery Podiatrist
- Olympia Fields, IL
National Provider Identifier
1104853647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Spicer, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1626972 | Other | IL | BLUE CROSS BLUE SHEILD |
| DN8726 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Olympia Fields, IL
- NPI 1578593398
-
- Podiatrist
- Bolingbrook, IL
- NPI 1033112917
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.