Provider Demographics
NPI:1154437853
Name:STEPLETON, CHRISTIAN A (DPM)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:A
Last Name:STEPLETON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 B DANIEL COURT
Mailing Address - Street 2:UNIT B
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103
Mailing Address - Country:US
Mailing Address - Phone:630-837-7641
Mailing Address - Fax:630-372-4116
Practice Address - Street 1:455 S. ROSELLE
Practice Address - Street 2:SUITE 100
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193
Practice Address - Country:US
Practice Address - Phone:847-895-3440
Practice Address - Fax:630-372-4116
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016004123213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0060001605OtherBLUE CROSS BLUE SHIELD
43350Medicare PIN
T38984Medicare UPIN
IL778780Medicare UPIN
IL0060001605OtherBLUE CROSS BLUE SHIELD