Individual
DR. ANDREW P RUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 W SURF ST STE 904, CHICAGO, IL 60657-7227
(337) 237-9610
(773) 549-0355
Mailing address
331 W SURF ST STE 904, CHICAGO, IL 60657-7227
(773) 237-9610
(773) 549-0355
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036148446
IL
2086S0129X
Vascular Surgery Physician
Primary
036148446
IL
Other
Enumeration date
03/26/2014
Last updated
12/31/2025
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