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1316219785
ELIZABETH A RUSSELL
CHICAGO, IL
NPI
1316219785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070017620)
Enumeration Date
2012-02-01
Last Update Date
2012-02-01
Business Address
-- ELIZABETH A RUSSELL P.T.
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-1000
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Mailing Address
-- ELIZABETH A RUSSELL P.T.
916 N WASHTENAW AVE
CHICAGO, IL 60622-4455
Phone number:
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