KIMBERLY VIRGO RUSSO

CHICAGO, IL
NPI1073834172
Former NameKIMBERLY VIRGO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2010-06-13
Last Update Date2016-06-30
Business Address
-- KIMBERLY VIRGO RUSSO DT
2818 S TRIPP AVE
CHICAGO, IL 60623-4336
Phone number: 773-240-5377
Mailing Address
-- KIMBERLY VIRGO RUSSO DT
7208 W LUNT AVE
CHICAGO, IL 60631-1125
Phone number: 708-717-6594
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