Individual
STEPHEN LITTLETON
Active
Individual
STEPHEN LITTLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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