Russo, Stephen P
Russo, Stephen P is an individual health care provider with primary practice located at 25 E. Washington St Suite 1125, Chicago IL 60602. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Russo, Stephen P can be contacted via phone (312) 641-2572.Contact Information
Primary practice address
25 E. Washington St Suite 1125
Chicago IL 60602
Phone: (312) 641-2572
Fax: (312) 641-6621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 019-026457 | Illinois |
Profile Details
| NPI number | 1699809202 |
|---|---|
| LBN Legal business name | Russo, Stephen P |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Mar 31st, 2014 - about 10 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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