Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY VIRGO RUSSO, DT
ActiveKIMBERLY VIRGO RUSSO, DT is a Developmental Therapist healthcare provider located in CHICAGO, Illinois. NPI 1073834172 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · CHICAGO, IL
Registration Details
- NPI Number
- 1073834172
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2010 (16.156688366673 yrs)
- Last Updated
- Jun 30, 2016
Practice Information
- Address
-
2818 S TRIPP AVECHICAGO, IL, 606234336Browse IL providers · Browse ZIP 60623
- Phone
- 7732405377
- Fax
- 8153772424
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA G. COPELAND | — | 1922193820 |
| MS. JOANNE CARBONELL-RODRIGUEZ | DT | 1508909797 |
| MS. AMY LOUISE BLACK | DT | 1942336672 |
| ELIZABETH BENNEY | MA DT CIMI | 1306978903 |
| SUSAN FECZKO | STA | 1043344211 |
| JADWIGA POLEK | — | 1275654949 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.