Russotiesi, Jennifer

Russotiesi, Jennifer is an individual health care provider with primary practice located at 7900 Cass Ave , Darien IL 60561-5073. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Russotiesi, Jennifer can be contacted via phone (630) 884-8643.

Contact Information

Primary practice address
7900 Cass Ave Darien IL 60561-5073
Phone: (630) 884-8643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.014871 Illinois

Profile Details

NPI number 1043850498
LBN Legal business name Russotiesi, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2020
Last updated Jan 5th, 2023 - about 2 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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