Individual
RUSSELL S. EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5645 W ADDISON ST, OUR LADY OF THE RESURRECTION HOSPITAL, CHICAGO, IL 60634-4403
(773) 282-7000
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036065954
IL
Other
Enumeration date
01/17/2006
Last updated
07/27/2009
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