RUSSELL DUANE QUEEN

BLUE ISLAND, IL
NPI1346194040
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  45454)
Enumeration Date2026-02-21
Last Update Date2026-02-21
Business Address
RUSSELL DUANE QUEEN
12761 WESTERN AVE
BLUE ISLAND, IL 60406-2141
Phone number: 708-606-6678
Mailing Address
RUSSELL DUANE QUEEN
12761 WESTERN AVE
BLUE ISLAND, IL 60406-2141
Phone number: 708-606-6678