Individual
KIMBERLY ANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 W. WOODFIELD RD., SUITE 106, SCHAUMBURG, IL 60173
(847) 278-1347
(847) 285-1610
Mailing address
800 W. WOODFIELD RD., SUITE 106, SCHAUMBURG, IL 60173
(847) 278-1347
(847) 285-1610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010266
IL
363AS0400X
Surgical Physician Assistant
085.010266
IL
Other
Enumeration date
01/30/2024
Last updated
11/18/2025
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