Kathleen G Russo in Plainfield - Speech-language Pathologist
Kathleen G Russo - NPI 1477691707
Kathleen G Russo is a Speech-language Pathologist in Plainfield, Illinois. Kathleen G Russo practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kathleen G Russo is 1477691707. The last update date is 2007-07-08.
Kathleen G Russo's current location address is 25439 Bower Court, Plainfield, Illinois. You can contact this provider via phone number 7086012696 and fax number 8152678446. The mailing address for Kathleen G Russo is 25439 Bower Court, Plainfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen G Russo |
|---|---|
| Address | 25439 Bower Court, Plainfield, Illinois |
| Phone Number | 7086012696 |
| Fax Number | 8152678446 |
| Sole Proprietor | Y |
| Credentials | MS CCC SLP |
NPI Number Detail
| NPI Number | 1477691707 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 25439 Bower Court |
|---|---|
| City | Plainfield |
| State | Illinois (IL) |
| Post Code | 60585 |
| Phone Number | 7086012696 |
| Fax Number | 8152678446 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12084979 | ASHA | ||
| 9932126 | IL | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kathleen G Russo?
The Kathleen G Russo has been issued the NPI (National Provider Identifier) 1477691707 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Kathleen G Russo is located?
The Kathleen G Russo is situated at the following address: 25439 Bower Court, Plainfield, IL, 60585.
What is the Kathleen G Russo's specialty and taxonomy code?
The Kathleen G Russo's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did Kathleen G Russo receive its 1477691707 assignment from the Centers for Medicare & Medicaid Services?
The Kathleen G Russo was assigned its 1477691707 on 2007-02-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kathleen G Russo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kathleen G Russo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY