NICOLE RUSSELL
NPI 1235962507
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since August 22, 2024
5721 S MARYLAND AVE, CHICAGO, IL 60637(303) 919-6612 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Russell NPPES

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

NICOLE RUSSELL (NPI 1235962507) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1235962507
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE RUSSELL
Location Address5721 S MARYLAND AVEChicago, IL 60637-1425
Mailing Address422 Hillcrest LnLombard, IL 60148-4427 · (303) 919-6612
Sole ProprietorNo
Enumeration DateAugust 22, 2024
NPPES CertifiedAugust 13, 2024
NPI 1235962507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5721 S MARYLAND AVE, Chicago, IL 60637

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Neonatal)
5721 S MARYLAND AVE
CHICAGO, IL 60637
Nurse Practitioner (Psychiatric/Mental Health)
5721 S MARYLAND AVE
CHICAGO, IL 60637
Registered Nurse
5721 S MARYLAND AVE
CHICAGO, IL 60637
Nurse Practitioner (Family)
5721 S MARYLAND AVE
CHICAGO, IL 60637
Student in an Organized Health Care Education/Training Program
5721 S MARYLAND AVE
CHICAGO, IL 60637
Nurse Practitioner (Pediatrics)
5721 S MARYLAND AVE
CHICAGO, IL 60637
Pediatrics
5721 S MARYLAND AVE
CHICAGO, IL 60637
Registered Nurse (Pediatrics)
5721 S MARYLAND AVE
CHICAGO, IL 60637

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 Nicole Russell's NPI number?

The NPI number for Nicole Russell is 1235962507. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Nicole Russell located?

Nicole Russell practices at 5721 S Maryland Ave, Chicago, IL 60637. The listed phone number is (303) 919-6612.

What is Nicole Russell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicole Russell was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.