Individual
RUSSELL P NOCKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
880 W CENTRAL RD STE 7200, ARLINGTON HEIGHTS, IL 60005-2382
(847) 618-4430
(847) 618-0786
Mailing address
880 W CENTRAL RD STE 7200, ARLINGTON HEIGHTS, IL 60005-2382
(847) 618-4430
(847) 618-0786
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036100723
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36100723
—
IL
Enumeration date
12/30/2005
Last updated
10/16/2023
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