MEDICARE: KARA M LITTLEJOHN NP

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	225200000X	Physical Therapy Assistant	160-004457	IL
2	363L00000X	Nurse Practitioner	209032702	IL

General Provider Information

NPI Number	:	1760965768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA M LITTLEJOHN NP

Provider Business Mailing Address
First Line	:	3404 CASTLE PINES CT
Second Line	:
City	:	SWANSEA
State	:	IL
Zip	:	62226-1194
Country	:	US
Telephone Number	:	618-830-4639
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 LUDWIG DR
Second Line	:
City	:	FAIRVIEW HEIGHTS
State	:	IL
Zip	:	62208-1332
Country	:	US
Telephone Number	:	618-397-9000
Fax Number	:

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

Provider Enumeration Date	:	09/14/2018
Last Update Date	:	08/21/2025

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