Stephen Russo, DMD

NPI 1699809202 · on the registry since 2007

Practice

Address: 25 E. Washington St
Suite 1125
Chicago, IL 60602
Phone: (312) 641-2572
Fax: (312) 641-6621
Organisation at this address: Lg Therapy, Llc
Jens Hussey Llc
Working Sobriety
Mark Gindi Md Sc
Aven Harbor, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 263

Registry record

Primary taxonomy: 1223P0300X
1223P0300X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-03-31

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