Provider Demographics
NPI:1659887974
Name:LITTLE, ANNA (SLP, CLC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:LITTLE
Suffix:
Gender:F
Credentials:SLP, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 N FRANKLIN ST UNIT 1005
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-3489
Mailing Address - Country:US
Mailing Address - Phone:847-471-2380
Mailing Address - Fax:
Practice Address - Street 1:849 N FRANKLIN ST UNIT 1005
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-3489
Practice Address - Country:US
Practice Address - Phone:847-471-2380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-22
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.013719235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist