Russell, Brian J

Russell, Brian J is an sole proprietor health care provider with primary practice located at 128 E Oak St , Villa Park IL 60181-2113. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Chiropractic Providers / Orthopedic. Chiropractic Providers / Orthopedic is his primary health care specialty. Russell, Brian J can be contacted via phone (630) 941-3208.

Contact Information

Primary practice address
128 E Oak St Villa Park IL 60181-2113
Phone: (630) 941-3208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 038006311 Illinois
Chiropractic Providers / Orthopedic 111NX0800X 038006311 Illinois

Profile Details

NPI number 1710031265
LBN Legal business name Russell, Brian J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Apr 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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