Individual
CARLTON LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6935 N MILWAUKEE AVE APT 103, NILES, IL 60714-4400
(787) 210-2806
Mailing address
6935 N MILWAUKEE AVE APT 103, NILES, IL 60714-4400
(787) 210-2806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022582
PR
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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