Search › Illinois › 224P00000X
Timothy Russo, CPO
NPI 1992206577 · on the registry since 2018
Practice
- Address
- 401 Harrison St
Oak Park, IL 60304 - Phone
- (708) 383-2257
- Fax
- (708) 383-0739
- Organisation at this address
- Scheck & Siress Prosthetics, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 224P00000X
224P00000X
- Also registered as
- 222Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-02-28
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