Individual
TAMMISHIA LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7716 S CREGIER AVE, CHICAGO, IL 60649-4610
(773) 960-1202
(708) 933-3459
Mailing address
3533 FAIRWAY CT, CRETE, IL 60417-1048
(773) 960-1202
(708) 933-3459
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043125920
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273988661001
—
IL
Enumeration date
08/15/2023
Last updated
08/15/2023
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