Search › Illinois › 101YA0400X
Russell Elleven, DMIN, EDD
NPI 1831783109 · on the registry since 2021 · sole proprietor
Practice
- Address
- 201 S Stewart Ave
Libertyville, IL 60048 - Phone
- (312) 330-5353
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-26
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