DR. RUSSELL ELLEVEN DMIN, EDD
NPI 1831783109
Counselor - Addiction (Substance Use Disorder) in Libertyville, IL

Q: What is Russell Elleven's NPI number?

The NPI number for Russell Elleven is 1831783109. It was assigned to this individual provider in the NPPES registry on February 26, 2021.

Q: What is Russell Elleven's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Russell Elleven was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 26, 2021

201 S STEWART AVE, LIBERTYVILLE, IL 60048(312) 330-5353 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Russell Elleven Dmin, Edd NPPES

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

DR. RUSSELL ELLEVEN DMIN, EDD (NPI 1831783109) is an individual addiction (substance use disorder) provider in Libertyville, Illinois, licensed in Illinois (36465) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1831783109

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameDR. RUSSELL ELLEVENCredential: DMIN, EDD

Location Address201 S STEWART AVELibertyville, IL 60048-2743

Mailing Address201 S Stewart AveLibertyville, IL 60048-2743 · (312) 330-5353

Phone(312) 330-5353

Sole ProprietorYes

Enumeration DateFebruary 26, 2021

NPPES CertifiedFebruary 26, 2021

✔ NPI 1831783109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in IL · 36465

201 S STEWART AVE, Libertyville, IL 60048

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Russell Elleven's NPI number?

The NPI number for Russell Elleven is 1831783109. It was assigned to this individual provider in the NPPES registry on February 26, 2021.

Where is Russell Elleven located?

Russell Elleven practices at 201 S Stewart Ave, Libertyville, IL 60048. The listed phone number is (312) 330-5353.

What is Russell Elleven's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Russell Elleven was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.