MEDICARE: MR. MATTHEW EDWARD LITTLEFIELD LPC

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
1	101YP2500X	Professional Counselor	178.014244	IL

General Provider Information

NPI Number	:	1023585908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MATTHEW EDWARD LITTLEFIELD LPC

Provider Business Mailing Address
First Line	:	21200 S LA GRANGE RD STE 205
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-2003
Country	:	US
Telephone Number	:	708-638-0910
Fax Number	:

Provider Business Practice Location Address
First Line	:	2081 CALISTOGA DR STE 2S
Second Line	:
City	:	NEW LENOX
State	:	IL
Zip	:	60451-4833
Country	:	US
Telephone Number	:	815-418-6070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2018
Last Update Date	:	10/29/2018

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