Individual
MISS MICHELLE ANNALOU RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE ASST
Contact information
Practice address
14507 PULASKI RD APT 1, MIDLOTHIAN, IL 60445-2850
(708) 368-7482
Mailing address
P.O. BOX 242, MIDLOTHIAN, IL 60445-2850
(708) 368-7482
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
10/31/2008
Last updated
06/09/2016
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