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John Russell
NPI 1104237130 · on the registry since 2014
Practice
- Address
- 1340 Charles St
Suite 300
Rockford, IL 61104 - Phone
- (779) 696-8800
- Organisation at this address
- Warren L Lowry Sc
Swedishamerican Hospital
Swedishamerican Hospital
Swedishamerican Hospital
Swedishamerican HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 84
Registry record
- Primary taxonomy
- Nurse Practitioner
363L00000X
- Also registered as
- Nurse Practitioner
Registered Nurse - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-26
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