Dr. Susan Renee Russell, M.D.
Internal Medicine, Pulmonary Disease in Chicago, IL. Individual provider (NPI-1).
NPI number1245486331
StatusActive
Last updated in NPPESAug 27, 2012
Details
- NPI
- 1245486331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susan Renee Russell
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2008
- Last updated
- Aug 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 036.117380 | IL | Yes |
| 207R00000X | Internal Medicine | 036.117380 | IL | |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 036.117380 | IL |
Practice location
675 N Saint Clair StSuite 18-250
Chicago, IL 60611-5975
Phone 312-695-1800 · Fax 312-695-4741
Mailing address
675 N Saint Clair StSuite 18-250
Chicago, IL 60611-5975
Phone 312-695-1800 · Fax 312-695-4741
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