Individual
DR. SAMUEL GUY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-3300
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(206) 919-5241
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.071153
IL
Other
Enumeration date
06/12/2017
Last updated
06/13/2021
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