SearchIllinois225200000X

Russa Aussieker, PTA

NPI 1497076103 · on the registry since 2010 · sole proprietor

Practice

Address
201 Locust St
Minonk, IL 61760
Phone
(309) 432-2557
Fax
(309) 432-3330
Organisation at this address
Heritage Manor Minonk, Llc
Heritage Manor - Minonk, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-06-16

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