IndividualActive
Ann Marie Russell, APRN, CNP
NPI 1609811330 · Nurse Practitioner · Palos Heights, IL
Provider details
- NPI number
- 1609811330
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209019048 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12251 S 80th Ave Ste 1576
Palos Heights, IL 60463-1290
Phone: (708) 923-5300
Fax: (708) 923-4201
Approximate (ZIP-level) locationGet directions
Mailing address
12251 S 80th Ave Ste 1576
Palos Heights, IL 60463-1290
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2021-12-01
- Certified
- 2021-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.