Organization
PERIODONTICS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN P RUSSO DMD MS (PERIODONTIST)
(312) 641-2572
Entity
Organization
Contact information
Practice address
111 N WABASH AVE STE 919, CHICAGO, IL 60602-1932
(312) 641-2572
(312) 641-6621
Mailing address
111 N WABASH AVE STE 919, CHICAGO, IL 60602-1932
(312) 641-2572
(312) 641-6621
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us