Dalvin D Little

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

License

00124964401 Issued in IL

Practice address

604 W Water St
Waukegan, IL 60085-5431

Phone

(847) 406-7530

NPI assigned

Jul 11, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1780362483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W WATER ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600855431",
            "telephone_number": "847-406-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W WATER ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600855431",
            "telephone_number": "847-406-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "DALVIN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "IL",
            "license": "00124964401",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "00124964401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34016496101L",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jwojiun Lin, RN,BSN,MPH
• Kang-Yann Lin, MD
• Cynthia Everet Nichola Lincke, MSW, LCSW
• Matthew Lindemeier
• Little City Foundation
• Jacqueline M Litvan
• LJ Medication, LTD. (La Clinica)
• Ginger Locke
• Christina Loeffler
• Longevity Acupuncture & Herbal Clinic LLC.

• Physical Therapist in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.