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Derick M Russell, MPT
Orthopedic Physical Therapist in Oak Park, Illinois
NPI 1710907480

Derick M Russell is a Orthopedic Physical Therapist based in Forest Park, IL and is specialized in Orthopedic. Derick M Russell practices in Oak Park, IL and has the professional credentials of MPT. The NPI Number for Derick M Russell is 1710907480 and holds a License No. (Illinois).

The current practice location address for Derick M Russell is 6326 West Roosevelt Rd, Oak Park, IL and can be reached out via phone at 708-691-3562 and via fax at 708-660-9356. You can also correspond with Derick M Russell through the mailing address at 1101 CIRCLE AVE, FOREST PARK, IL - 60130-2326 (mailing address contact number: 708-691-3562).

Location: 6326 West Roosevelt Rd, Oak Park, IL, 60130-2326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710907480
Provider Name
Derick M Russell
Credential
MPT
Provider Entity Type
Individual
Gender
Male
Address
6326 West Roosevelt Rd, Oak Park, IL, 60130-2326
Phone Number
708-691-3562
Fax Number
708-660-9356
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6326 West Roosevelt Rd
City
Oak Park
State
Illinois
Zip
60304
Phone Number
708-691-3562
Fax Number
708-660-9356
person
Provider Business Mailing Address Details
Address
1101 Circle Ave
City
Forest Park
State
Illinois
Zip
60130-2326
Phone Number
708-691-3562
Fax Number
708-660-9356
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
(Illinois)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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