Provider Demographics
NPI:1316426984
Name:STEPKOWSKI, MONIKA H (DPT)
Entity type:Individual
Prefix:
First Name:MONIKA
Middle Name:H
Last Name:STEPKOWSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MONIKA
Other - Middle Name:H
Other - Last Name:GRUBA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 OAKMONT LN STE 600C
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5548
Mailing Address - Country:US
Mailing Address - Phone:630-575-6250
Mailing Address - Fax:
Practice Address - Street 1:8337 W LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:NORRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60706-3129
Practice Address - Country:US
Practice Address - Phone:708-583-9500
Practice Address - Fax:708-583-9501
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070023869225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist