| Melissa Russell, | |
|
845 E Jackson St, Du Quoin, IL 62832-3871 | |
| (618) 542-2646 | |
| Not Available |
| Full Name | Melissa Russell |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 845 E Jackson St, Du Quoin, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326566985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 146.006370 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Russell, 13600 Bandyville Rd, Herrin, IL 62948-6514 Ph: (618) 521-1118 | Melissa Russell, 845 E Jackson St, Du Quoin, IL 62832-3871 Ph: (618) 542-2646 |
Mrs. Melissa Kay Wade, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 E South St, Du Quoin, IL 62832 Phone: 618-684-2109 | |
Mrs. Anita Jo Gross, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 845 E Jackson St, Du Quoin, IL 62832 Phone: 618-542-2646 Fax: 618-542-6291 | |
Victoria Ruggeri, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 402 N Maple St, Du Quoin, IL 62832 Phone: 618-367-6401 |