Individual
DR. RUSSELL ALEXANDER WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1653 W CONGRESS PKWY # 12, CHICAGO, IL 60612-3833
(312) 942-7100
Mailing address
1653 W CONGRESS PKWY # 12, CHICAGO, IL 60612-3833
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
125.085822
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2024
Last updated
06/11/2025
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