Individual
DR. KATELIN LEE ANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
18 EMERALD TER, SWANSEA, IL 62226-2321
(618) 234-6000
(618) 234-6009
Mailing address
18 EMERALD TER, SWANSEA, IL 62226-2321
(618) 234-6000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.014099
IL
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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