Russell, Cynthia Marie
Russell, Cynthia Marie is an sole proprietor health care provider with primary practice located at 460 Briargate Dr Suite 700, South Elgin IL 60177-2227. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Cynthia Marie can be contacted via phone (847) 488-1999.Contact Information
Primary practice address
460 Briargate Dr Suite 700
South Elgin IL 60177-2227
Phone: (847) 488-1999
Fax: (847) 488-9797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.013675 | Illinois |
Profile Details
| NPI number | 1053489450 |
|---|---|
| LBN Legal business name | Russell, Cynthia Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Dec 20th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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