Individual
CASEY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
900 MILWAUKEE AVE, LINCOLNSHIRE, IL 60069-3845
(847) 415-8800
(847) 793-8467
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/09/2013
Last updated
06/22/2016
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