Individual
TODD A LITTLEJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
(618) 641-5410
Mailing address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
(618) 641-5410
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
PENDING
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209006493
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077224
CCNA
—
Enumeration date
01/29/2007
Last updated
03/10/2011
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