RUSSELL WHITEHEAD

CHICAGO, IL
NPI1952169310
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-11
Last Update Date2024-03-11
Business Address
RUSSELL WHITEHEAD
1653 W CONGRESS PKWY # 12
CHICAGO, IL 60612-3833
Phone number: 312-942-7100
Mailing Address
RUSSELL WHITEHEAD
1653 W CONGRESS PKWY # 12
CHICAGO, IL 60612-3833
Phone number: