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NPI Code Detail

MEDICARE: NAVARONE LITTLE

MEDICARE: NAVARONE LITTLE
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
1164W00000XLicensed Practical Nurse043126476IL

General Provider Information

NPI Number : 1073121349
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAVARONE LITTLE
Provider Business Mailing Address
First Line : 17746 OAK PARK AVE
Second Line :
City : TINLEY PARK
State : IL
Zip : 60477-3936
Country : US
Telephone Number : 708-444-1012
Fax Number :
Provider Business Practice Location Address
First Line : 67 E 34TH ST
Second Line :
City : STEGER
State : IL
Zip : 60475-1106
Country : US
Telephone Number : 708-331-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2020
Last Update Date : 07/22/2020

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Directions to “ NAVARONE LITTLE ” Practice Location

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