| Organization Name: | LITTLE COMPANY OF MARY AFFILIATED SERVICES INC |
| NPI Number: | 1033162086 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROL A HEENAN (DIRECTOR, PROFESSIONAL SERVICES) |
| Mailing Address: | 5660 W 95th St Suite 1 Oak Lawn |
| State: | IL US |
| Postal Code: | 604532380 |
| Phone Number: | 7084992273 |
| Fax Number: | 7088574435 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 03/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |