Craig Russo in Springfield - Diagnostic Radiology
Craig Russo - NPI 1790727659
Craig Russo is a Diagnostic Radiology in Springfield, Illinois. Craig Russo practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Craig Russo is 1790727659. The last update date is 2015-08-04.
Craig Russo's current location address is 2040 W Iles Ave, Springfield, Illinois. You can contact this provider via phone number 2177890668. The mailing address for Craig Russo is 2040 W Iles Ave, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Russo |
|---|---|
| Address | 2040 W Iles Ave, Springfield, Illinois |
| Phone Number | 2177890668 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790727659 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2015-08-04 |
Provider Mailing Address Detail
| Address | 2040 W Iles Ave |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627044183 |
| Phone Number | 2177890668 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 36095798 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36095798 | IL | -- |
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What is the unique identification code assigned to Craig Russo by the Centers for Medicare & Medicaid Services?
The Craig Russo has been issued the NPI (National Provider Identifier) 1790727659. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Craig Russo?
The Craig Russo is situated at 2040 W Iles Ave, in the city of Springfield, state of IL, with the zip code 627044183.
What is Craig Russo'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 Craig Russo is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
When did Craig Russo receive its 1790727659 assignment?
The Craig Russo was assigned its 1790727659 on 2006-06-12, which is the date when this unique identifier was issued to the organization.
When was the information related to Craig Russo most recently updated or refreshed?
The details pertaining to the Craig Russo, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-08-04.