Russell, Karen S

Russell, Karen S is an individual health care provider with primary practice located at 120 N Oak St , Hinsdale IL 60521-3829. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Russell, Karen S can be contacted via phone (630) 856-6700.

Contact Information

Primary practice address
120 N Oak St Hinsdale IL 60521-3829
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036071843 Illinois

Profile Details

NPI number 1588620603
LBN Legal business name Russell, Karen S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 20th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588620603 NPPES
Illinois MEDICAID 036071843

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