Search › Illinois › 2086S0122X
Ronald Russo, MD
NPI 1447380985 · on the registry since 2007
Practice
- Address
- 2504 Galen Drive
Suite 107
Champaign, IL 61821 - Phone
- (217) 398-4856
- Fax
- (217) 373-5214
Registry record
- Primary taxonomy
- 2086S0122X
2086S0122X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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