person
Michael Jonathan Russo, STUDENT
Family Medicine Physician in Chicago, Illinois
NPI 1558822510

Michael Jonathan Russo is a Family Medicine Physician based in Chicago, IL. Michael Jonathan Russo practices in Chicago, IL and has the professional credentials of STUDENT. The NPI Number for Michael Jonathan Russo is 1558822510 and holds a License No. (Illinois).

The current practice location address for Michael Jonathan Russo is 4025 N Western Ave Bldg E, Chicago, IL and can be reached out via phone at 773-275-7700 and via fax at 773-279-6504.

Location: 4025 N Western Ave Bldg E, Chicago, IL, 60673-1293
person
Provider Profile Details
NPI Number
1558822510
Provider Name
Michael Jonathan Russo
Credential
STUDENT
Provider Entity Type
Individual
Gender
Male
Address
4025 N Western Ave Bldg E, Chicago, IL, 60673-1293
Phone Number
773-275-7700
Fax Number
773-279-6504
Provider Enumeration Date
03/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4025 N Western Ave Bldg E
City
State
Zip
60618-3726
Phone Number
773-275-7700
Fax Number
773-279-6504
person
Provider Business Mailing Address Details
Address
4025 N Western Ave Bldg E
City
State
Zip
60618-3726
Phone Number
773-275-7700
Fax Number
773-279-6504
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
036.158890 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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