LATRECE RUSSELL (NPI# 1073936100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073936100 |
| Entity Type | Individual |
| Full Name | LATRECE RUSSELL |
| Practice Address |
4734 S Prairie Ave Chicago IL 60615-1206 |
| Mailing Address |
4734 S Prairie Ave Unit1 Chicago IL 60615-1206 |
| Practice Telephone | 7082521958 |
| Mailing Telephone | 7082521958 |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4734 S PRAIRIE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205302965 | North Chicago Lice Clinic Inc | Technician, Other | 6308 N Milwaukee Ave, Chicago, IL 60646-3711 | 2018-10-22 |
| 1629594361 | Olivia Cavileer | Technician, Other | 1409 W. Carroll Ave, Chicago, IL 60607 | 2017-08-15 |
| 1134650484 | Disentangle LLC | Technician, Other | 11104 S Kedzie Ave, Chicago, IL 60655-2330 | 2017-03-27 |
| 1225498777 | Kyle Coward | Technician, Other | 6901 S Oglesby Ave Apt 3b, Chicago, IL 60649-1827 | 2016-02-25 |
| 1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
| 1043655947 | Lori Marlene Ovitz | Technician, Other | 1211 S Prairie Ave Apt 2301, Chicago, IL 60605-3654 | 2013-05-06 |
| 1710240304 | Velma Culverson | Technician, Other | 1514 S Albany Ave, 1514 South Albany Ave, Chicago, IL 60623-2210 | 2012-06-19 |
| 1770654634 | Teresa Kay Thorpe | Technician, Other | 5800 W Higgins Ave, Chicago, IL 60630-2023 | 2006-11-13 |
| 1194178566 | Chicago City Of | Technician, Other | 2133 W Lexington St, Chicago, IL 60612-3707 | 2016-07-20 |
| 1013360429 | Paul Diaz | Technician, Other | 2133 W Lexington St, Chicago, IL 60612-3707 | 2016-07-20 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.