Individual
DR. RUSSELL LEON MCELVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
747 N RUTLEDGE ST FL 4, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-7053
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(844) 470-2486
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036140179
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
1667
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2019007716
MO
Other
Enumeration date
11/26/2007
Last updated
10/28/2025
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