Most Relevant Information
Provider Data
| NPI Number: | 1003580481 |
| Provider Name: | ANNA LOUISE RUSSO |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149.022568 |
Most Important Dates
| Enumeration Date: | 08/09/2021 |
| Last Updated: | 04/12/2023 |
Provider Practice Location
1701 E LAKE AVE STE 270
GLENVIEW
IL
600252088
Practice Location Phone/Fax
| Phone: | 7739791179 |
| Fax: |
Provider Mailing Location
1701 E LAKE AVE STE 270
GLENVIEW
IL
600252088
Provider Mailing Phone/Fax
| Phone: | 7739791179 |
| Fax: |