Individual
STEPHEN LITTLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 WINFIELD ROAD, WINFIELD, IL 60190
(630) 933-4700
(630) 933-4721
Mailing address
25 WINFIELD ROAD, WINFIELD, IL 60190
(630) 933-4700
(630) 933-4721
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036-110236
IL
207RP1001X
Pulmonary Disease Physician
036-110236
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036110236
IL
208M00000X
Hospitalist Physician
036110236
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS GROUP NUMBER
IL
05
—
036110236
—
IL
01
—
36-3149833
TAX IDENTIFICATION NUMBER
IL
01
—
3631498336019001
CDPG HFS PAYEE ID
IL
Enumeration date
08/08/2006
Last updated
04/19/2021
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