RUSSELL ELLEVEN

LIBERTYVILLE, IL
NPI1831783109
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  36465)
Enumeration Date2021-02-26
Last Update Date2021-02-26
Business Address
Dr. RUSSELL ELLEVEN DMin, EdD
201 S STEWART AVE
LIBERTYVILLE, IL 60048-2743
Phone number: 312-330-5353
Mailing Address
Dr. RUSSELL ELLEVEN DMin, EdD
201 S STEWART AVE
LIBERTYVILLE, IL 60048-2743
Phone number: 312-330-5353
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