Active NPI
Yuvodka Sharice Little, PARAMEDICAL ARTIST
- Point of Service
- Oak Lawn, IL
National Provider Identifier
1588494264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 230343
- Practice address
- 4821 W 103Rd St
Oak Lawn, IL 60453-3955 - Phone
- (800) 780-2959
- Fax
- (800) 918-3011
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 230343 | IL | Primary |
Addresses
Primary practice location
4821 W 103Rd St
Oak Lawn, IL 60453-3955
Mailing address
1001 E 153Rd St
South Holland, IL 60473-1104
Phone (708) 770-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230343 | IL | MD | Point of Service |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1588494264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E 153RD ST",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604731104",
"telephone_number": "708-770-3555",
"fax_number": "800-918-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4821 W 103RD ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533955",
"telephone_number": "800-780-2959",
"fax_number": "800-918-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "YUVODKA",
"middle_name": "SHARICE",
"credential": "PARAMEDICAL ARTIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "IL",
"license": "230343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
- Amy Liss, PA-C
- Little Company of Mary Affiliated Services Inc
- Little Company of Mary Affiliated Services, Inc
- Little Company of Mary Hospital Inc
- Little Company of Mary Hospital Inc
- Cathleen Hannah Litz, OTR/L
- Liveright Senior Care Inc
- Living Waters Counseling and Consulting Services NFP
- Michelle Lynn Lizak, PHARM D
- Jorge Ramon Llobet-Arce, SA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.