Search › Illinois › 2086S0129X
Andrew Russeau, MD
NPI 1043637150 · on the registry since 2014
Practice
- Address
- 331 W Surf St Ste 904
Chicago, IL 60657 - Phone
- (337) 237-9610
- Fax
- (773) 549-0355
- Organisation at this address
- Walgreen Co
Pcac Gi Jv Llc
Refinedrx Health Pllc
Optimum Kidney Care Sc
Fabian Carbonell Md ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Additional practice sites
- 700 Pasquinelli Dr, Westmont, IL
- 8630 S Pulaski Rd, Chicago, IL
Registry record
- Primary taxonomy
- 2086S0129X
2086S0129X
- Also registered as
- 208600000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois