Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ANGELLIQUE PERRY-RUSSELL
Active Sole ProprietorMRS. ANGELLIQUE PERRY-RUSSELL is a Home Health healthcare provider located in LA GRANGE HIGHLANDS, Illinois. NPI 1578000204 is currently active in the NPPES registry. Verify at CMS.
Home Health · LA GRANGE HIGHLANDS, IL
Registration Details
- NPI Number
- 1578000204
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2017 (9.604554812292 yrs)
- Last Updated
- Dec 14, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
6425 JOLIET RD APT 1WFLA GRANGE HIGHLANDS, IL, 605254293Browse IL providers · Browse ZIP 60525
- Phone
- 7082888445
- Primary Specialty
-
Home Health
251E00000X
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.