Individual
DR. FRANK RUSSO
Active
Individual
DR. FRANK RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036049838
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049838
—
IL
01
—
07215196
BC BS OF ILLINOIS
IL
01
—
P00243948
RAILROAD MEDICARE
IL
Enumeration date
12/26/2006
Last updated
08/12/2010
Update your record
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