RUSSELL LLOYD AVELLANA

CHICAGO, IL
NPI1417343278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA60672295)
Enumeration Date2015-04-08
Last Update Date2016-09-06
Business Address
-- RUSSELL LLOYD AVELLANA
240 E HURON ST SUITE 1-200
CHICAGO, IL 60611-2909
Phone number: 312-503-1851
Mailing Address
-- RUSSELL LLOYD AVELLANA
240 E HURON ST SUITE 1-200
CHICAGO, IL 60611-2909
Phone number: 312-503-1851
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