Provider Demographics
NPI:1538486881
Name:STEPANSKY, MONA (PHD)
Entity type:Individual
Prefix:DR
First Name:MONA
Middle Name:
Last Name:STEPANSKY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MONA
Other - Middle Name:
Other - Last Name:ABAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1101 LAKE ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1085
Mailing Address - Country:US
Mailing Address - Phone:708-445-3771
Mailing Address - Fax:708-746-0445
Practice Address - Street 1:1101 LAKE ST
Practice Address - Street 2:SUITE 306
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1085
Practice Address - Country:US
Practice Address - Phone:708-445-3771
Practice Address - Fax:708-746-0445
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007788103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist