Search › Illinois › 101YM0800X
Russell Warner
NPI 1548944960 · on the registry since 2023 · sole proprietor
Practice
- Address
- 341 Bienterra Trl Apt 2
Rockford, IL 61107 - Phone
- (815) 319-2056
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-14
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