Individual
MARY C. LITTLEJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
130 LINCOLN COURT PLACE, BELLEVILLE, IL 62221-5372
(618) 257-2029
(618) 235-5371
Mailing address
130 LINCOLN COURT PLACE, BELLEVILLE, IL 62221-5372
(618) 257-2029
(618) 235-5371
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209010179
IL
363LA2200X
Adult Health Nurse Practitioner
209010179
IL
Other
Enumeration date
06/05/2013
Last updated
09/27/2017
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