Individual
DR. MICHAEL STEVEN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1112 S WASHINGTON ST STE 214, NAPERVILLE, IL 60540-7964
(630) 355-6878
(630) 355-0043
Mailing address
1112 S WASHINGTON ST STE 214, NAPERVILLE, IL 60540-7964
(630) 355-6878
(630) 355-0043
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010918
IL
Other
Enumeration date
07/17/2015
Last updated
12/13/2020
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