Individual
MRS. ELEANOR M. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 DIANE LN, ELK GROVE VILLAGE, IL 60007-3056
(847) 352-9425
(847) 985-0226
Mailing address
1229 DIANE LN, ELK GROVE VILLAGE, IL 60007-3056
(847) 352-9425
(847) 985-0226
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.170533
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209.005019
IL
Other
Enumeration date
10/31/2008
Last updated
12/31/2021
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