Individual
DR. KAREN S RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
120 N OAK ST, HINSDALE, IL 60521-3829
(630) 856-6700
Mailing address
PO BOX 71402, CHICAGO, IL 60694-1402
(630) 734-0200
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036071843
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071843
—
IL
Enumeration date
04/26/2006
Last updated
02/20/2015
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