Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN J RUSSELL, DC
Active Sole ProprietorOrthopedic (Chiropractor) · VILLA PARK, IL
Registration Details
- NPI Number
- 1710031265
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2007 (19.246052090417 yrs)
- Last Updated
- Apr 24, 2020
- Licenses
-
038006311 (IL)038006311 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
128 E OAK STVILLA PARK, IL, 601812113Browse IL providers · Browse ZIP 60181
- Phone
- 6309413208
- Primary Specialty
-
Orthopedic (Chiropractor)
111NX0800X
- Additional Specialty
- Orthopedic (Chiropractor)
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.