Individual
JULIANNE GRACE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1600 DODGE AVE, ROOM H-101, EVANSTON, IL 60201-3449
(847) 424-7265
(847) 492-5809
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-1206
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
IL
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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