NPI 1295208890

Adriana Russ, DOCTOROFAUDIOLOGY

Practitioner Audiologist Maywood, IL

Practice location

Address: 2160 S 1st Ave, Maywood, IL 60153-3328
Phone: (708) 216-2419

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 147.001480 (IL)

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Registry record

NPI: 1295208890
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jan 2019
Record last updated: 11 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.