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Contact Information

KYLE RUSS, CNS
640 GINGER TRL
LAKE ZURICH, IL60047-2539
 Phone: 847-971-9429
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
 

Health & Wellness Coach

171400000X
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for KYLE RUSS · (Male)

NPI Number 1689439317
Status Active
Credentials CNS
Entity Individual
Enumeration date 02/21/2024
Last updated 02/21/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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