Provider Demographics
NPI:1417143975
Name:LITTLE YOU, INC.
Entity Type:Organization
Organization Name:LITTLE YOU, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:MHS
Authorized Official - Phone:773-354-6159
Mailing Address - Street 1:1924 N BURLING ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-7906
Mailing Address - Country:US
Mailing Address - Phone:773-354-6159
Mailing Address - Fax:708-597-4036
Practice Address - Street 1:1924 N BURLING ST APT 2F
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-7906
Practice Address - Country:US
Practice Address - Phone:773-354-6159
Practice Address - Fax:708-597-4036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL360745436001Medicaid