Individual
DR. KEVIN J RUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, DIBCN, DABFP
Contact information
Practice address
311 S NAPERVILLE RD, SUITE C, WHEATON, IL 60187-5473
(630) 690-4040
Mailing address
311 S NAPERVILLE RD, SUITE C, WHEATON, IL 60187-5473
(630) 690-4040
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
038-007072
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022-22298
BC/BS
IL
01
—
4655917
AETNA
—
01
—
79863
HEALTH PARTNERS
—
01
—
8228039001
CIGNA
—
Enumeration date
07/28/2006
Last updated
10/10/2012
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