Individual provider · Type 1 NPI

Latrece Russell

Other Technician · Chicago, IL

NPI number 1073936100 Active

Practice location

4734 S Prairie Ave
Chicago, IL 60615-1206

Call (708) 252-1958 Map

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1073936100

Latrece Russell's National Provider Identifier is 1073936100, issued on Jan 24, 2014. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Chicago, IL. The record was last updated on Jan 24, 2014.