Individual provider · Type 1 NPI

Jean A. Russo, CPNP

Pediatric Nurse Practitioner · Skokie, IL

NPI number 1992023535 Active

Practice location

4709 Golf Rd Ste 900
Skokie, IL 60076

Fax (847) 679-7183

Other practice locations

  • 4709 Golf Rd Ste 1250, Skokie, IL 60076-1238 · (847) 676-5394

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X363LP0200X (IL)
Pediatric Nurse Practitioner Primary 363LP0200X209006848 (IL)

Pediatric Nurse Practitioner: Definition to come...

18 other providers at this address

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About NPI 1992023535

Jean A. Russo, CPNP's National Provider Identifier is 1992023535, issued on May 6, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Skokie, IL. The record was last updated on May 17, 2018.