Search › Illinois › 213E00000X
Peter Russotto, DPM
NPI 1770576829 · on the registry since 2005
Practice
- Address
- 1440 W Walnut St
#5
Jacksonville, IL 62650 - Phone
- (217) 243-3668
- Organisation at this address
- Best Senior Care, Inc.
Physical Therapists Clinic,Ltd
Physical Therapists Clinic, Ltd
Central Counties Health Centers, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 213E00000X
213E00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
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