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General NPI Number Information
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NPI Number | 1760965768
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Entity Type | Individual
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Provider Name | KARA M LITTLEJOHN NP
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Gender | Female
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Dates
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Enumeration Date | 09/14/2018
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 5 LUDWIG DR
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City | FAIRVIEW HEIGHTS
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State | IL
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Zip | 62208-1332
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Country | US
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Telephone | 618-397-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 3404 CASTLE PINES CT
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City | SWANSEA
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State | IL
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Zip | 62226-1194
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Country | US
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Telephone | 618-830-4639
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Fax |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 160-004457
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209032702
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License Number State | IL
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