Mrs. Angellique Perry-Russell
Mrs. Angellique Perry-Russell is a Home Health Agency in LA Grange Highlands, Illinois. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
6425 Joliet Rd Apt 1WFLA Grange Highlands, IL 60525-4293
Phone: (708) 288-8445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X |
|---|
Record details
| NPI number | 1578000204 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2017 |
| Last updated in NPPES | December 14, 2020 |
| Certification date | December 14, 2020 |