Russell, Joseph

Russell, Joseph is an individual health care provider with primary practice located at 24020 W Riverwalk Ct Ste 102 , Plainfield IL 60544-7107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Russell, Joseph can be contacted via phone (815) 676-2528.

Contact Information

Primary practice address
24020 W Riverwalk Ct Ste 102 Plainfield IL 60544-7107
Phone: (815) 676-2528
Fax: (815) 676-2586
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036064556 Illinois

Profile Details

NPI number 1407824980
LBN Legal business name Russell, Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 18th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407824980 NPPES
Illinois MEDICAID 036064556

Popular Providers