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Search › Illinois › 152W00000X

Peter Russo, OD

NPI 1790759694 · on the registry since 2006

Practice

Address
2160 S 1st Ave
(17w740 22nd Steert, Oakbrook Terrace, Il. 60181)
Maywood, IL 60153
Phone
(630) 627-7399
Fax
(630) 627-7079
Organisation at this address
Walgreen Co
Walgreen Co
Rosin Optical Co., Inc.
Proviso Partners For Health
Loyola University Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,186

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-03-04

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