Brian J Russell in Villa Park - Sports Physician
Brian J Russell - NPI 1710031265
Brian J Russell is a Sports Physician in Villa Park, Illinois. Brian J Russell practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Brian J Russell is 1710031265. The last update date is 2020-04-24.
Brian J Russell's current location address is 128 E Oak St, Villa Park, Illinois. You can contact this provider via phone number 6309413208. The mailing address for Brian J Russell is 128 E Oak St, Villa Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian J Russell |
|---|---|
| Address | 128 E Oak St, Villa Park, Illinois |
| Phone Number | 6309413208 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1710031265 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2020-04-24 |
Provider Mailing Address Detail
| Address | 128 E Oak St |
|---|---|
| City | Villa Park |
| State | Illinois (IL) |
| Post Code | 601812113 |
| Phone Number | 6309413208 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 38006311 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Brian J Russell?
The Brian J Russell has been issued the NPI (National Provider Identifier) 1710031265 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Brian J Russell's facilities are geographically located?
The facilities of Brian J Russell are physically situated at the following location: 128 E Oak St, Villa Park, IL, 601812113.
What is Brian J Russell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian J Russell is Sports Physician, and the taxonomy classification code that categorizes this area of expertise is 111Ns0005X.
On what date did Brian J Russell receive its 1710031265 assignment from the Centers for Medicare & Medicaid Services?
The Brian J Russell was assigned its 1710031265 on 2007-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Brian J Russell's information last updated?
The Brian J Russell's information was last updated on 2020-04-24.