person
Marina K Russo, MD
Endocrinology, Diabetes & Metabolism Physician in Springfield, Illinois
NPI 1174510978

Marina K Russo is a Endocrinology, Diabetes & Metabolism Physician based in Springfield, IL and is specialized in Endocrinology, Diabetes & Metabolism. Marina K Russo practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Marina K Russo is 1174510978 and holds a License No. 036102799 (Illinois).

The current practice location address for Marina K Russo is 1118 Legacy Pointe Dr, Springfield, IL and can be reached out via phone at 217-787-8870 and via fax at 217-787-6158. You can also correspond with Marina K Russo through the mailing address at 1118 LEGACY POINTE DR, SPRINGFIELD, IL - 62711 (mailing address contact number: 217-787-8870).

Location: 1118 Legacy Pointe Dr, Springfield, IL, 62711
person
Provider Profile Details
NPI Number
1174510978
Provider Name
Marina K Russo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1118 Legacy Pointe Dr, Springfield, IL, 62711
Phone Number
217-787-8870
Fax Number
217-787-6158
Provider Enumeration Date
10/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6394P 01 IL CATERPILLAR
036102799 05 IL
14D0949277 01 IL CLIA CERT
08421024 01 IL BLUE CROSS BLUE SHIELD
020057300 01 IL BLACK LUNG
CD7143 01 IL RR MEDICARE GRP
institution
Provider Business Practice Location Address Details
Address
1118 Legacy Pointe Dr
City
State
Zip
62711
Phone Number
217-787-8870
Fax Number
217-787-6158
person
Provider Business Mailing Address Details
Address
1118 Legacy Pointe Dr
City
State
Zip
62711
Phone Number
217-787-8870
Fax Number
217-787-6158
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Endocrinology, Diabetes & Metabolism
Taxonomy
License No.
036102799 (Illinois)
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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