Individual
VICKI B RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(614) 457-8180
(614) 583-3300
Mailing address
75 REMITTANCE DR, SUITE 1951, CHICAGO, IL 60675-1951
(614) 457-8180
(614) 583-3300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
IL
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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