Healthcare Provider Details

I. General information

NPI: 1265557672
Provider Name (Legal Business Name): LITTLE LISTENERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 09/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

577 PIERCE CT
GRAYSLAKE IL
60030-1365
US

IV. Provider business mailing address

577 PIERCE CT
GRAYSLAKE IL
60030-1365
US

V. Phone/Fax

Practice location:
  • Phone: 847-223-4212
  • Fax: 847-557-1282
Mailing address:
  • Phone: 847-223-4212
  • Fax: 847-557-1282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number3326
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License NumberLS93040599P
License Number StateIL

VIII. Authorized Official

Name: MRS. LESLIE SCHUMAKER
Title or Position: PRESIDENT
Credential: CERT AVT
Phone: 847-223-4212