Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Virgo Russo, DT

Individual provider Developmental Therapist · NPI 1073834172

Kimberly Virgo Russo, DT is a Developmental Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010

Practice location Address checks out

2818 S Tripp Ave
Chicago, IL 60623-4336
Phone: (773) 240-5377
Fax: (815) 377-2424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (IL)

Record details

NPI number1073834172
Entity typeIndividual (Type 1)
GenderFemale
Credentials DT
Sole proprietorNo
NPI enumeratedJune 13, 2010
Last updated in NPPESJune 30, 2016

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