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:
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Health care specialties

SpecialtyCodeLicense #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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