MEDICARE: LITTLE CHATTERBOX, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency		IL

General Provider Information

NPI Number	:	1295914109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE CHATTERBOX, P.C.

Provider Business Mailing Address
First Line	:	4735 N LAPORTE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-3830
Country	:	US
Telephone Number	:	773-817-8743
Fax Number	:

Provider Business Practice Location Address
First Line	:	4735 N LAPORTE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-3830
Country	:	US
Telephone Number	:	773-817-8743
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MRS. TORI R. NGUYEN
Credential	:	M.S., CCC-SLP/L
Telephone Number	:	773-817-8743

Provider Enumeration Date	:	10/26/2007
Last Update Date	:	10/26/2007

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Directions to “LITTLE CHATTERBOX, P.C. ” Practice Location

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