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Akisha Russell
NPI 1932479524 · on the registry since 2012 · sole proprietor
Practice
- Address
- 9131 S Normal Ave
Chicago, IL 60620 - Phone
- (773) 651-6168
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-01-12
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