Individual
MS. HARRIET ANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1650 W. JARVIS AVE., CHICAGO, IL 60626-1913
(773) 743-3258
Mailing address
1650 W. JARVIS AVE., CHICAGO, IL 60626-1913
(773) 743-3258
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.000885
IL
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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