Russo, Kathleen G

Russo, Kathleen G is an sole proprietor health care provider with primary practice located at 25439 Bower Ct , Plainfield IL 60585-2579. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Russo, Kathleen G can be contacted via phone (708) 601-2696.

Contact Information

Primary practice address
25439 Bower Ct Plainfield IL 60585-2579
Phone: (708) 601-2696
Fax: (815) 267-8446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Illinois

Profile Details

NPI number 1477691707
LBN Legal business name Russo, Kathleen G
Credentials MS CCC SLP L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1477691707 NPPES
Other 12084979 ASHA
Other 9932126 ASHA

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