Individual
MS. TRACY ANN COLE-RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3002 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8200
Mailing address
315 W GOLF RD, LIBERTYVILLE, IL 60048-3511
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
041326350
IL
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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