Russo Rehabilitation Medicine Ltd

LBN: Frank I Russo
Russo Rehabilitation Medicine Ltd is an health care organization with primary practice located at 5401 N Knoxville Ave Suite 218, Peoria IL 61614-5098. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Frank I Russo can be contacted via phone (309) 693-2244, or through Chiaravalle, Carrie Lyn via phone (309) 689-6049.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 218 Peoria IL 61614-5098
Phone: (309) 693-2244
Fax: (309) 693-7606
Website:
Map and Directions
Authorized official contact:
Name: Chiaravalle, Carrie Lyn
Phone: (309) 689-6049

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1639140833
LBN Legal business name Frank I Russo
DBA Doing business as Russo Rehabilitation Medicine Ltd
Authorized official Chiaravalle, Carrie Lyn
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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