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LITTLE COMPANY OF MARY AFFILIATED SERVICES INC NPI 1588617260


NPI Information

NPI: 1588617260
Provider Name: LITTLE COMPANY OF MARY AFFILIATED SERVICES INC

Doing Business As: LITTLE CO OF MARY AFFILIATED

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2800 W 95TH ST
EVERGREEN PARK, IL
ZIP 60805
Phone: (708) 229-5171
Get Directions

LITTLE COMPANY OF MARY AFFILIATED SERVICES INC is an internal medicine in Evergreen Park, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LITTLE COMPANY OF MARY AFFILIATED SERVICES INC NPI is 1588617260. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Little Co Of Mary Affiliated.

The provider's business location address is:

2800 W 95TH ST
EVERGREEN PARK, IL
ZIP 60805-701
Phone: (708) 229-5171
Fax: (708) 229-4209

The provider's authorized official is Carol A Heenan .
The authorized official title is Director Professional Services and has the following contact phone number (708) 229-5171.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 2/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3208600000XSurgeryNo
4207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101620807OTHERILLINOISBLUE CROSS BLUE SHIELD
2CC2999OTHERILLINOISRAILROAD MEDICARE
3729903MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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