Nicole Russell
Nicole Russell is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
5721 S Maryland AveChicago, IL 60637-1425
Phone: (303) 919-6612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1235962507 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 22, 2024 |
| Last updated in NPPES | August 22, 2024 |
| Certification date | August 13, 2024 |
| Mailing address | 422 Hillcrest Ln, Lombard, IL 60148-4427 |
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