Search › Illinois › 363AM0700X
Briana Russom, PA-C
NPI 1558661702 · on the registry since 2010
Practice
- Address
- 2473 Mcfarland Rd
Rockford, IL 61107 - Phone
- (779) 696-9202
- Organisation at this address
- Swedishamerican Hospital
Swedishamerican Hospital
Swedishamerican Hospital
Advanced Care & Treatment Medical GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-19
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