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Michael Russell

NPI 1952094880 · on the registry since 2023

Practice

Address
250 S Nw Highway
Suite 110
Park Ridge, IL 60068
Phone
(888) 428-7890

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-02

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