Individual
TERRI L. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
900 JORIE BLVD, #186, OAK BROOK, IL 60523-2213
(630) 954-6700
Mailing address
1530 S STATE ST, 15C, CHICAGO, IL 60605-2964
(630) 308-0560
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP10035
AZ
Other
Enumeration date
01/17/2007
Last updated
09/12/2025
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