Russo, Sonya A

Russo, Sonya A is an individual health care provider with primary practice located at 1300 Franklin Ave Suite #270, Normal IL 61761-3592. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Russo, Sonya A can be contacted via phone (309) 454-1074.

Contact Information

Primary practice address
1300 Franklin Ave Suite #270 Normal IL 61761-3592
Phone: (309) 454-1074
Fax: (309) 454-3554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X Illinois

Profile Details

NPI number 1962576504
LBN Legal business name Russo, Sonya A
Credentials C.N.M., W.H.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 18 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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