Organization
RUSSELL CHIROPRACTIC CARE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J RUSSELL DC (PRESIDENT)
(630) 530-0506
Entity
Organization
Contact information
Practice address
477 S SPRING RD, ELMHURST, IL 60126-3857
(630) 530-0506
(630) 530-0854
Mailing address
477 S SPRING RD, ELMHURST, IL 60126-3857
(630) 530-0506
(630) 530-0854
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
038006311
IL
111NX0800X
Orthopedic Chiropractor
Primary
038006311
IL
Other
Enumeration date
01/21/2007
Last updated
03/31/2014
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