Individual
DR. HUGH DONOVAN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8501 S COTTAGE GROVE, CHICAGO, IL 60619
(773) 488-3600
(773) 488-3601
Mailing address
8501 S COTTAGE GROVE AVE, CHICAGO, IL 60619
(773) 488-3600
(773) 488-3601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036064027
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036034027
—
IL
01
—
AR1594262
US GOFT DEPT OF EDU RES D
—
Enumeration date
01/17/2007
Last updated
05/16/2008
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