Individual provider Active NPI

Rebecca Jo Little, NP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1801316476
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015900 Issued in IL
Practice address
6145 N Northwest Hwy
Chicago, IL 60631-2127
Phone
(312) 809-6500
Fax
(312) 809-6501
NPI assigned
Jun 23, 2017
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209015900 IL Primary

Addresses

Primary practice location

6145 N Northwest Hwy
Chicago, IL 60631-2127

Mailing address

625 S Delphia Ave
Park Ridge, IL 60068-4520
Phone (224) 234-5783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020002415 IL Practitioner - Nurse Practitioner 3274809108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeshore Anesthesia LTDGroup PAC ID 6103918453, 4 clinicians

Practice addresses (Care Compare)

6145 N Northwest Hwy
Chicago, IL 60631-2127
Phone (312) 809-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Anesthesia LTD CurrentSince Nov 1, 2021 Accepting new patients
Xrhealth USA Inc PastSince Nov 1, 2021 Accepting new patients

Locations

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

6145 N Northwest Hwy
Chicago, IL 60631
Phone (857) 706-4907

1100 Lake St
Ste LL56
Oak Park, IL 60301
Phone (708) 383-0943

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1801316476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S DELPHIA AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684520",
            "telephone_number": "224-234-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 N NORTHWEST HWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312127",
            "telephone_number": "312-809-6500",
            "fax_number": "312-809-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "REBECCA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.