Individual
MRS. ANTONIA RICOBENE RUSSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP/L
Contact information
Practice address
950 LEE ST, SUITE 210, DES PLAINES, IL 60016-6532
(877) 486-4140
Mailing address
950 LEE ST, SUITE 210, DES PLAINES, IL 60016-6532
(877) 486-4140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.001896
IL
Other
Enumeration date
07/06/2011
Last updated
01/28/2015
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