CANNUTTE N RUSSELL

CHICAGO, IL
NPI1740458017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019011094)
Enumeration Date2008-02-20
Last Update Date2008-02-20
Business Address
Dr. CANNUTTE N RUSSELL DDS
5050 SOUTH STATE SUITE 213
CHICAGO, IL 60440
Phone number: 773-536-4729
Mailing Address
Dr. CANNUTTE N RUSSELL DDS
5050 SOUTH STATE SUITE 213
CHICAGO, IL 60609
Phone number: 773-536-4729
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