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Dr. Lucille R Russo, MD
Obstetrics & Gynecology Physician in Warrenville, Illinois
NPI 1730190927

Lucille R Russo is a Obstetrics & Gynecology Physician based in Warrenville, IL. Lucille R Russo practices in Warrenville, IL and has the professional credentials of MD. The NPI Number for Lucille R Russo is 1730190927 and holds a License No. 036-090412 (Illinois).

The current practice location address for Lucille R Russo is 28375 Davis Pkwy, Warrenville, IL and can be reached out via phone at 630-653-4240 and via fax at 630-225-4034.

Location: 28375 Davis Pkwy, Warrenville, IL, 60555-3030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730190927
Provider Name
Lucille R Russo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
28375 Davis Pkwy, Warrenville, IL, 60555-3030
Phone Number
630-653-4240
Fax Number
630-225-4034
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036090412 05 IL
P01244969 01 IL MEDICARE RAILROAD (INDIVIDUAL)
206147208 01 IL MEDICARE (INDIVIDUAL)
CA4748 01 IL MEDICARE RAILROAD (GROUP)
206147 01 IL MEDICARE (GROUP)
institution
Provider Business Practice Location Address Details
Address
28375 Davis Pkwy
City
Warrenville
State
Illinois
Zip
60555-3030
Phone Number
630-653-4240
Fax Number
630-225-4034
person
Provider Business Mailing Address Details
Address
28375 Davis Pkwy
City
Warrenville
State
Illinois
Zip
60555-3030
Phone Number
630-653-4240
Fax Number
630-225-4034
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
036-090412 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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