Holly Russell in Tinley Park - Student In An Organized Health Care Education/training Program
Holly Russell - NPI 1174727267
Holly Russell is a Student In An Organized Health Care Education/training Program in Tinley Park, Illinois. Holly Russell practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Holly Russell is 1174727267. The last update date is 2022-02-23.
Holly Russell's current location address is 18210 La Grange Rd, Tinley Park, Illinois. You can contact this provider via phone number 7084787800 and fax number 7084787870. The mailing address for Holly Russell is 18210 La Grange Rd, Tinley Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Russell |
|---|---|
| Address | 18210 La Grange Rd, Tinley Park, Illinois |
| Phone Number | 7084787800 |
| Fax Number | 7084787870 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174727267 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2022-02-23 |
Provider Mailing Address Detail
| Address | 18210 La Grange Rd |
|---|---|
| City | Tinley Park |
| State | Illinois (IL) |
| Post Code | 604877722 |
| Phone Number | 7084787800 |
| Fax Number | 7084787870 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
| Licence No | 2005017735 |
|
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36120579 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Holly Russell?
The Holly Russell has been issued the NPI (National Provider Identifier) 1174727267 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Holly Russell is geographically located?
The Holly Russell is physically situated at the following location: 18210 La Grange Rd, Tinley Park, IL, 604877722.
What is Holly Russell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Holly Russell is Student In An Organized Health Care Education/training Program, and the taxonomy code that classifies this field of practice is 390200000X.
On what date was the 1174727267 assigned to Holly Russell?
The Holly Russell was issued its 1174727267 on 2007-06-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Holly Russell most recently updated?
The details pertaining to the Holly Russell, including its address, specialty, and other relevant information, were last refreshed on 2022-02-23.