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Timothy Morgan Russo, CPO
Prosthetist in Oak Park, Illinois
NPI 1992206577

Timothy Morgan Russo is a Prosthetist based in Oakbrook Terrace, IL. Timothy Morgan Russo practices in Oak Park, IL and has the professional credentials of CPO. The NPI Number for Timothy Morgan Russo is 1992206577 and holds a License No. 213.000337 (Illinois).

The current practice location address for Timothy Morgan Russo is 401 Harrison St, Oak Park, IL and can be reached out via phone at 708-383-2257 and via fax at 708-383-0739. You can also correspond with Timothy Morgan Russo through the mailing address at 1S376 SUMMIT AVE, OAKBROOK TERRACE, IL - 60181-3985 (mailing address contact number: 630-705-4092).

Location: 401 Harrison St, Oak Park, IL, 60181-3985
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992206577
Provider Name
Timothy Morgan Russo
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
401 Harrison St, Oak Park, IL, 60181-3985
Phone Number
708-383-2257
Fax Number
708-383-0739
Provider Enumeration Date
02/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 Harrison St
City
Oak Park
State
Illinois
Zip
60304-1427
Phone Number
708-383-2257
Fax Number
708-383-0739
person
Provider Business Mailing Address Details
Address
1S376 Summit Ave
City
Oakbrook Terrace
State
Illinois
Zip
60181-3985
Phone Number
630-705-4092
Fax Number
630-424-0467
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
211.000298 (Illinois)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
213.000337 (Illinois)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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