Individual
MRS. RUTH ANN LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2548 N ADMIRAL DR, GREAT LAKES, IL 60088-2302
(773) 556-9450
Mailing address
2548 N ADMIRAL DR, GREAT LAKES, IL 60088-2302
(773) 556-9450
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043083576
IL
164W00000X
Licensed Practical Nurse
309885031
WI
Other
Enumeration date
06/24/2008
Last updated
06/25/2008
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