Healthcare Provider Details

I. General information

NPI: 1902710825
Provider Name (Legal Business Name): LITTLE PUENTES INTEGRATIVE SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 S MICHIGAN AVE. #604
CHICAGO IL
60616
US

IV. Provider business mailing address

3115 S MICHIGAN AVE. #604
CHICAGO IL
60616
US

V. Phone/Fax

Practice location:
  • Phone: 773-461-4035
  • Fax:
Mailing address:
  • Phone: 440-829-0624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: SARAH ELYSE LITTLE
Title or Position: SPEECH LANGUAGE PATHOLOGIST/OWNER
Credential: CCC-SLP
Phone: 440-829-0624