SearchIllinois103TC0700X

Matthew Russell, PHD

NPI 1487203485 · on the registry since 2019

Practice

Address
9600 Gross Point Rd Ste 1200
Skokie, IL 60076
Phone
(847) 909-5445
Organisation at this address
North Shore Mri Centre
Skokie Valley Ct Centre
Skokie Valley Radiologist
Skokie Emergency Services, Llc
Endeavor Health Clinical Operations
Inferred from a shared address, not stated in the registry.
Clinicians at this address
86

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TC0700X
Licence states on file
TX, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-02

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