Anna Louise Russo
Social Worker, Clinical in Glenview, IL. Individual provider (NPI-1).
NPI number1003580481
StatusActive
Last updated in NPPESApr 12, 2023
Details
- NPI
- 1003580481
- Entity type
- Individual (NPI-1)
- Name
- Anna Louise Russo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2021
- Certification date
- Apr 12, 2023
- Last updated
- Apr 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.022568 | IL | Yes |
Practice location
1701 E Lake Ave Ste 270Glenview, IL 60025-2088
Phone 773-979-1179
Mailing address
1701 E Lake Ave Ste 270Glenview, IL 60025-2088
Phone 773-979-1179
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