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Individual

DR. ANNA MARIE LITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 S LEWIS LN, CARBONDALE, IL 62901-3547
(618) 519-9900
Mailing address
109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 985-8221
(618) 985-6860

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036129821
IL
208000000X
Pediatrics Physician
Primary
036129821
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
370966854024
IL
01
CF3444
MEDICARE RR
IL
Enumeration date
06/27/2007
Last updated
12/11/2020
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