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Kiley Russell
NPI 1679347363 · on the registry since 2023 · sole proprietor
Practice
- Address
- 5100 S Dorchester Ave
Chicago, IL 60615 - Phone
- (773) 966-5039
- Organisation at this address
- Kemit Academy Incorporated
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Developmental Therapist
222Q00000X
- Sex
- Female
- Record last updated
- 2023-11-13
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