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Holly Russell, MD
Pediatrics Physician in Tinley Park, Illinois
NPI 1174727267

Holly Russell is a Pediatrics Physician based in Tinley Park, IL. Holly Russell practices in Tinley Park, IL and has the professional credentials of MD. The NPI Number for Holly Russell is 1174727267 and holds a License No. 2005017735 (Illinois).

The current practice location address for Holly Russell is 18210 La Grange Rd, Tinley Park, IL and can be reached out via phone at 708-478-7800 and via fax at 708-478-7870.

Location: 18210 La Grange Rd, Tinley Park, IL, 60487-7725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174727267
Provider Name
Holly Russell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
18210 La Grange Rd, Tinley Park, IL, 60487-7725
Phone Number
708-478-7800
Fax Number
708-478-7870
Provider Enumeration Date
06/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036120579 05 IL
institution
Provider Business Practice Location Address Details
Address
18210 La Grange Rd
City
Tinley Park
State
Illinois
Zip
60487-7722
Phone Number
708-478-7800
Fax Number
708-478-7870
person
Provider Business Mailing Address Details
Address
18210 La Grange Rd
City
Tinley Park
State
Illinois
Zip
60487-7722
Phone Number
708-478-7800
Fax Number
708-478-7870
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
036120579 (Illinois)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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.
2005017735 (Missouri)
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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