Search › Illinois › 235Z00000X
Fawn Russell
NPI 1326538638 · on the registry since 2018
Practice
- Address
- 490 Avenue Of The Cities
East Moline, IL 61244 - Phone
- (309) 796-1251
- Clinicians at this address
- 2
Additional practice sites
- 2109 Cedarwood Dr Ste 200, Muscatine, IA
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- IA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-31
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