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Latrece Russell
NPI 1073936100 · on the registry since 2014
Practice
- Address
- 4734 S Prairie Ave
Chicago, IL 60615 - Phone
- (708) 252-1958
Registry record
- Primary taxonomy
- Other Technician
247200000X
- Sex
- Female
- Record last updated
- 2014-01-24
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