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Stevnika Russell
NPI 1861980435 · on the registry since 2018 · sole proprietor
Practice
- Address
- 5517 N Kenmore Ave
Chicago, IL 60640 - Phone
- (773) 275-7962
- Organisation at this address
- Lutheran Social Services Of Illinois
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-04-28
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