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MICHAEL RUSSO, STUDENT

STUDENT

Family Medicine Physician

NPI: 1558822510IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

036.158890(IL)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

OTHER

Class of 2019

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Contact & Hours

Address
4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618

Locations (3)

Practice Location

4025 N WESTERN AVE BLDG E, CHICAGO, IL
(773) 275-7700

Practice Location

836 W WELLINGTON AVE, CHICAGO, IL
(773) 975-1600

Practice Location

3132 OLD JACKSONVILLE RD, SPRINGFIELD, IL
(217) 862-0800

Quick Facts

NPI
1558822510
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
3
Years in Practice
7

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