Individual
GILLIAN JOELL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4948 BENCHMARK CENTRE DR, SWANSEA, IL 62226-2027
(618) 628-2588
(618) 628-1363
Mailing address
4948 BENCHMARK CENTRE DR, SWANSEA, IL 62226-2027
(618) 628-2588
(618) 628-1363
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209032192
IL
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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