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General NPI Number Information
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NPI Number | 1659283950
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Entity Type | Individual
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Provider Name | LITTY JOHN
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Gender | Female
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 4642 LILAC AVE
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City | GLENVIEW
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State | IL
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Zip | 60025-1450
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Country | US
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Telephone | 847-645-1443
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Fax | 708-202-5456
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Provider Business Mailing Address
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Address Line | 4885 HOFFMAN BLVD
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-3726
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Country | US
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Telephone | 847-645-1443
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Fax | 708-202-5456
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1100931-30
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License Number State | WI
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