Search › Illinois › Developmental Therapist
Kimberly Virgo Russo, DT
NPI 1073834172 · on the registry since 2010
Practice
- Address
- 2818 S Tripp Ave
Chicago, IL 60623 - Phone
- (773) 240-5377
- Fax
- (815) 377-2424
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Developmental Therapist
222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois