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Dr. Mark Russell, MD
Student in an Organized Health Care Education/Training Program in Maywood, Illinois
NPI 1154827756

Mark Russell is a Student in an Organized Health Care Education/Training Program based in Lisle, IL. Mark Russell practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Mark Russell is 1154827756 and holds a License No. 036.159014 (Illinois).

The current practice location address for Mark Russell is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-9000.

Location: 2160 S 1St Ave, Maywood, IL, 60532-1789
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154827756
Provider Name
Mark Russell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 60532-1789
Phone Number
708-216-9000
Fax Number
Provider Enumeration Date
04/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-9000
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pathology
Speciality
Hematology
Taxonomy
207ZH0000X
License No.
()
Definition
A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036.159014 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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