person
Dr. Stephen P Russo, DMD
Periodontist in Chicago, Illinois
NPI 1699809202

Stephen P Russo is a Periodontist based in Chicago, IL and is specialized in Periodontics. Stephen P Russo practices in Chicago, IL and has the professional credentials of DMD. The NPI Number for Stephen P Russo is 1699809202 and holds a License No. 019-026457 (Illinois).

The current practice location address for Stephen P Russo is 25 E. Washington St, Chicago, IL and can be reached out via phone at 312-641-2572 and via fax at 312-641-6621.

Location: 25 E. Washington St, Chicago, IL, 60602
person
Provider Profile Details
NPI Number
1699809202
Provider Name
Stephen P Russo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
25 E. Washington St, Chicago, IL, 60602
Phone Number
312-641-2572
Fax Number
312-641-6621
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25 E. Washington St
City
State
Zip
60602
Phone Number
312-641-2572
Fax Number
312-641-6621
person
Provider Business Mailing Address Details
Address
25 E. Washington St
City
State
Zip
60602
Phone Number
312-641-2572
Fax Number
312-641-6621
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
019-026457 (Illinois)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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