Individual
DR. MICHAEL LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 PIN OAK DR, CARTERVILLE, IL 62918-1665
(618) 985-3333
Mailing address
1400 PIN OAK DR, CARTERVILLE, IL 62918-1600
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036.129749
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129749
—
IL
Enumeration date
07/19/2007
Last updated
03/04/2019
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