DR. RUSSELL ELLEVEN DMIN EDD NPI 1831783109

NPI Information

  • NPI: 1831783109
  • Provider Name: DR. RUSSELL ELLEVEN, DMIN, EDD
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 201 S STEWART AVE
    LIBERTYVILLE, IL
    ZIP 60048
  • Phone: (312) 330-5353

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NPI Details

DR. Russell Elleven, DMIN, EDD is an addiction (substance use disorder) counselor in Libertyville, IL. DR. Russell Elleven, DMIN, EDD NPI is 1831783109. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 S STEWART AVE
LIBERTYVILLE, IL
ZIP 60048-743
Phone: (312) 330-5353

The enumeration date for this NPI number is 2/26/2021 and was last updated on 2/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)36465ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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