Russo, Stephanie
Russo, Stephanie is an individual health care provider with primary practice located at 18640 W. Belvidere Road , Grayslake IL 60030. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Russo, Stephanie can be contacted via phone (847) 548-6000.Contact Information
Primary practice address
18640 W. Belvidere Road
Grayslake IL 60030
Phone: (847) 548-6000
Fax: (847) 548-6040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
| NPI number | 1376671727 |
|---|---|
| LBN Legal business name | Russo, Stephanie |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| 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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