Little, Carolyn

Little, Carolyn is an individual health care provider with primary practice located at 1325 Sycamore Rd , Dekalb IL 60115-2483. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Little, Carolyn can be contacted via phone (815) 758-8616.

Contact Information

Primary practice address
1325 Sycamore Rd Dekalb IL 60115-2483
Phone: (815) 758-8616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1508475849
LBN Legal business name Little, Carolyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2020
Last updated Apr 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508475849 NPPES
Illinois MEDICAID 474579189001

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