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Mrs. Panola E. Russell

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Panola E. Russell
Gender: F
Provider License Number If Given:

NPI Information:

NPI: 1336479542
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 1/11/2010

Last Update Date: 5/25/2012

Provider Business Mailing Address:

Address: 855 BURNHAM DR APT F
University Park, IL 60484
Phone Number: 7085347559
Fax Number:

Provider Business Practice Location Address:

Address: 855 BURNHAM DR APT F
University Park, IL 60484
Phone Number: 7085347559
Fax Number:

Provider Taxonomy:

Primary: 101Y00000X
Secondary (if any): 101YM0800X
State: IL

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About Mrs. Panola E. Russell

Mrs. Panola E. Russell (MRS. PANOLA E. RUSSELL ) is A Counselor Physician in University Park, IL. The NPI Number for Mrs. Panola E. Russell is 1336479542.
The current location address for Mrs. Panola E. Russell is 855 BURNHAM DR APT F University Park, IL 60484 and the contact number is 7085347559 and fax number is . The mailing address for Mrs. Panola E. Russell is 855 BURNHAM DR APT F University Park, IL 60484- 7085347559 (mailing address contact number - 7085347559).
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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FAQs:

What is the NPI Number for Mrs. Panola E. Russell ?


Answer: The NPI Number for Mrs. Panola E. Russell is 1336479542

Where is Mrs. Panola E. Russell located?


Answer: Mrs. Panola E. Russell is located at 855 BURNHAM DR APT F University Park, IL 60484.

What is the specialty for Mrs. Panola E. Russell ?


Answer: The Specialty of Mrs. Panola E. Russell is A Counselor Physician.

Are there any online reviews for Mrs. Panola E. Russell ?


Answer: Not yet!

Are there any other health care providers in University Park, IL?


Answer: Yes, there are given below...

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Mrs. Panola E. Russell
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