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1083889380
BONNIE JEAN RUSSELL
CHICAGO, IL
NPI
1083889380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IL 146008112)
Enumeration Date
2008-04-28
Last Update Date
2008-04-28
Business Address
MRS. BONNIE JEAN RUSSELL MS, CCC-SLP
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 800-354-7342
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Mailing Address
MRS. BONNIE JEAN RUSSELL MS, CCC-SLP
210 N BROADWAY AVE
PARK RIDGE, IL 60068-2906
Phone number: 847-318-5622
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