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Individual
DR. BRIAN J RUSSELL
Active
Individual
DR. BRIAN J RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
038006311
IL
111NX0800X
Orthopedic Chiropractor
Primary
038006311
IL
Other
Enumeration date
01/22/2007
Last updated
04/24/2020
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