Russell, Kathleen P

Russell, Kathleen P is an individual health care provider with primary practice located at 2300 N Childrens Plz Box 50, Chicago IL 60614-3363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Russell, Kathleen P can be contacted via phone (773) 880-4000.

Contact Information

Primary practice address
2300 N Childrens Plz Box 50 Chicago IL 60614-3363
Phone: (773) 880-4000
Fax: (773) 880-4179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X Illinois

Profile Details

NPI number 1023044849
LBN Legal business name Russell, Kathleen P
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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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