Organization Active NPI

Russell Health and Wellness Center, SC

  • Chiropractor
  • Elmhurst, IL
National Provider Identifier
1013335421
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038006311 Issued in IL
Legal business name
RUSSELL HEALTH AND WELLNESS CENTER, SC
Practice address
477 S Spring Rd
Elmhurst, IL 60126-3857
Phone
(630) 530-0506
Fax
(630) 530-0854
NPI assigned
Apr 2, 2014
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian J Russell, DC
Title
President
Phone
(630) 530-0506

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038006311 IL Primary
Sports Physician Chiropractor 111NS0005X 038006311 IL
Orthopedic Chiropractor 111NX0800X 038006311 IL

Addresses

Primary practice location

477 S Spring Rd
Elmhurst, IL 60126-3857

Mailing address

477 S Spring Rd
Elmhurst, IL 60126-3857
Phone (630) 530-0506

National Provider Directory

National Provider Directory

Locations

477 S Spring Rd
Elmhurst, IL 60126
Phone (630) 530-0506

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1013335421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 S SPRING RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263857",
            "telephone_number": "630-530-0506",
            "fax_number": "630-530-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 S SPRING RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263857",
            "telephone_number": "630-530-0506",
            "fax_number": "630-530-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL HEALTH AND WELLNESS CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-530-0506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006311",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038006311",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038006311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.