Madison Russell
Madison Russell is an Occupational Therapist in Sycamore, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
1513 Dekalb AveSycamore, IL 60178-2703
Phone: (815) 766-3733
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 056.015140 (IL) |
|---|
Record details
| NPI number | 1619756566 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 28, 2023 |
| Last updated in NPPES | September 28, 2023 |
| Certification date | September 28, 2023 |
| Mailing address | 1513 Dekalb Ave, Sycamore, IL 60178-2703 |
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