Russo, Jean A.

Russo, Jean A. is an individual health care provider with primary practice located at 4709 Golf Rd Ste 900 , Skokie IL 60076. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Russo, Jean A. can be contacted via phone (847) 676-5394.

Contact Information

Primary practice address
4709 Golf Rd Ste 900 Skokie IL 60076
Phone: (847) 676-5394
Fax: (847) 679-7183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 363LP0200X Illinois
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209006848 Illinois

Profile Details

NPI number 1992023535
LBN Legal business name Russo, Jean A.
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2010
Last updated May 17th, 2018 - 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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