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LATRECE RUSSELL
NPI 1073936100
Technician, Other in Chicago, IL

Active since January 24, 2014
4734 S PRAIRIE AVE, CHICAGO, IL 60615(708) 252-1958 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Latrece Russell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATRECE RUSSELL (NPI 1073936100) is an individual technician, other provider in Chicago, Illinois and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1073936100
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameLATRECE RUSSELL
Location Address4734 S PRAIRIE AVEChicago, IL 60615-1206
Mailing Address4734 S Prairie Ave, Unit1Chicago, IL 60615-1206 · (708) 252-1958
Phone(708) 252-1958
Sole ProprietorNo
Enumeration DateJanuary 24, 2014
✔ NPI 1073936100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition

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.

4734 S PRAIRIE AVE, Chicago, IL 60615
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latrece Russell's NPI number?

The NPI number for Latrece Russell is 1073936100. It was assigned to this individual provider in the NPPES registry on January 24, 2014.

Where is Latrece Russell located?

Latrece Russell practices at 4734 S Prairie Ave, Chicago, IL 60615. The listed phone number is (708) 252-1958.

What is Latrece Russell's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Latrece Russell was last updated on January 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.