Jean A. Russo, CPNP Valid NPI

Individual provider · Pediatric Nurse Practitioner · Skokie, IL

NPI

1992023535

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

209006848 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2010-05-06

Last updated

2018-05-17