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Melissa Russell
NPI 1326566985 · on the registry since 2017 · sole proprietor
Practice
- Address
- 845 E Jackson St
Du Quoin, IL 62832 - Phone
- (618) 542-2646
- Organisation at this address
- Du Quoin Community Unit School
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-09-05
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