LITTLE COMPANY OF MARY AFFILIATED SERVICES INC NPI 1033162086

NPI Information

NPI: 1033162086
Provider Name: LITTLE COMPANY OF MARY AFFILIATED SERVICES INC

Doing Business As: LITTLE CO OF MARY CARE STATION

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
5660 W 95TH ST
SUITE 1
OAK LAWN, IL
ZIP 60453
Phone: (708) 499-2273
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LITTLE COMPANY OF MARY AFFILIATED SERVICES INC is an urgent care clinic center in Oak Lawn, IL. LITTLE COMPANY OF MARY AFFILIATED SERVICES INC NPI is 1033162086. The provider is registered as an organization entity type.
The provider Is Doing Business As Little Co Of Mary Care Station.

The provider's business location address is:

5660 W 95TH ST
SUITE 1
OAK LAWN, IL
ZIP 60453-380
Phone: (708) 499-2273
Fax: (708) 857-4435

The provider's authorized official is Carol A Heenan .
The authorized official title is Director, Professional Services and has the following contact phone number (708) 229-5171.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 3/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2420962	OTHER	ILLINOIS	UNITED HEALTH CARE MPIN
2	=========-A	OTHER	ILLINOIS	HUMANA PROVIDER NUMBER
3	1617116	OTHER	ILLINOIS	BC/BS PROVIDER NUMBER
4	729902	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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