Renee Russo
Renee Russo is an Optician in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
2121 W Division StChicago, IL 60622-2948
Phone: (847) 814-5514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|
Record details
| NPI number | 1699941682 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 30, 2008 |
| Last updated in NPPES | April 30, 2008 |
| Mailing address | 2121 W Division St, Chicago, IL 60622-2948 |
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