MEDICARE: LITTLE CITY FOUNDATION

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	251S00000X	Community/Behavioral Health Agency	3B00-IPI-053	IL
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1225364078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE CITY FOUNDATION

Provider Business Mailing Address
First Line	:	700 N SACRAMENTO BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-1046
Country	:	US
Telephone Number	:	773-265-2539
Fax Number	:	773-265-1755

Provider Business Practice Location Address
First Line	:	700 N SACRAMENTO BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-1046
Country	:	US
Telephone Number	:	773-265-2539
Fax Number	:	773-265-1755

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SHAWN JEFFERS
Credential	:
Telephone Number	:	847-358-5510

Provider Enumeration Date	:	10/29/2009
Last Update Date	:	05/05/2021

Similar Medicare Providers

1316106883 — ERIN ELIZABETH ATKINSON LSW
Practice Location Address:

700 N SACRAMENTO BLVD , SUITE 220
CHICAGO, IL
60612-1046

Practice Phone: 773-265-1539
Practice Fax: 773-265-1755

1316180888 — RHIANNON C REAVES LCPC
Practice Location Address:

700 N SACRAMENTO BLVD , SUITE 220
CHICAGO, IL
60612-1046

Practice Phone: 773-265-1539
Practice Fax:

1972802692 — MRS. KRISTINE GONYON MA
Practice Location Address:

700 N SACRAMENTO BLVD , SUITE 220
CHICAGO, IL
60612-1046

Practice Phone: 773-318-7454
Practice Fax:

1780953984 — LINCARE INC
Practice Location Address:

700 N SACRAMENTO BLVD , STE 130
CHICAGO, IL
60612-1046

Practice Phone: 312-733-7157
Practice Fax: 312-733-7342

1013395789 — MS. AMY E BOARD LCSW
Practice Location Address:

700 N SACRAMENTO BLVD , SUITE 201
CHICAGO, IL
60612-1046

Practice Phone: 773-916-4084
Practice Fax:

1326526112 — HOME CARE TECHNOLOGIES LTD.
Practice Location Address:

700 N SACRAMENTO BLVD
CHICAGO, IL
60612-1046

Practice Phone: 312-291-9550
Practice Fax: 312-275-7811

Directions to “LITTLE CITY FOUNDATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.