Kiley Russell
Kiley Russell is a Developmental Therapist in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
5100 S Dorchester AveChicago, IL 60615-4118
Phone: (773) 966-5039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1679347363 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 13, 2023 |
| Last updated in NPPES | November 13, 2023 |
| Certification date | November 13, 2023 |
| Mailing address | 5100 S Dorchester Ave, Chicago, IL 60615-4118 |
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