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NPI Code Detail

MEDICARE: LITTLE LAMBS SPEECH AND LANGUAGE LLC

MEDICARE: LITTLE LAMBS SPEECH AND LANGUAGE LLC
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1376419275
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE LAMBS SPEECH AND LANGUAGE LLC
Provider Business Mailing Address
First Line : 28 INDEPENDENCE SQ
Second Line :
City : BLOOMINGTON
State : IL
Zip : 61704-4635
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 28 INDEPENDENCE SQ
Second Line :
City : BLOOMINGTON
State : IL
Zip : 61704-4635
Country : US
Telephone Number : 217-249-9590
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CLARISSA ROBERT
Credential :
Telephone Number : 217-249-9590
Provider Enumeration Date : 10/16/2025
Last Update Date : 02/09/2026

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Directions to “LITTLE LAMBS SPEECH AND LANGUAGE LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.