Igor Russo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008831 Issued in IL

Practice address

6931 North Ave
Oak Park, IL 60302-1053

Phone

(708) 763-0580

Fax

(708) 763-0586

NPI assigned

Aug 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Anesthesia LTD

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
  • NPI 1497203475
  NPD (past)
• Community Outreach Chiropractic

  • Chiropractor
  • Chicago, IL
  • NPI 1528288933
  NPD (past)
• Pinnacle Pain Management

  • Preferred Provider Organization
  • Hinsdale, IL
  • NPI 1790912434
  NPD (past)
• R&R Global Chiropractic Clinic, P.C.

  • Chiropractor
  • Oak Park, IL
  • NPI 1447450242
  NPD (past)

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1215946389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292753",
            "telephone_number": "708-763-9622",
            "fax_number": "773-863-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021053",
            "telephone_number": "708-763-0580",
            "fax_number": "708-763-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "IGOR",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-06",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Marie Rusk, PSY.D.
• Brittany Elise Russell
• Deandranay Russell
• Derick M Russell, MPT
• Frank Russo
• Maureen Bella Russo, MA, ATR-P
• Timothy Morgan Russo, CPO
• Nancy Joan Ryan, OTR/L
• Ralph G. Ryan, M.D.
• S and R Drugs Inc / Dba: Sears Pharmacy (Sears Pharmacy)

• Chiropractor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.