Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK RUSSELL, MD
ActiveHematology (Pathology) · MAYWOOD, IL
Registration Details
- NPI Number
- 1154827756
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2018 (8.0905065585483 yrs)
- Last Updated
- Jun 2, 2022
- License
-
036.159014 (IL)
Practice Information
- Address
-
2160 S 1ST AVEMAYWOOD, IL, 601533328Browse IL providers · Browse ZIP 60153
- Phone
- 7082169000
- Primary Specialty
-
Hematology (Pathology)
207ZH0000X
- Additional Specialty
- Student (Health Education/Training)
Other Hematology (Pathology) Providers in MAYWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| AMEET KINI | MD PHD | 1649241944 |
| DR. SAMREEN FATHIMA | MD | 1275094518 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.