Frank I Russo

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

FRANK I RUSSO

Doing business as

Russo Rehabilitation Medicine LTD

Practice address

5401 N Knoxville Ave
Suite 218
Peoria, IL 61614-5098

Phone

(309) 693-2244

Fax

(309) 693-7606

NPI assigned

Jan 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Carrie Lyn Chiaravalle

Title

Director

Phone

(309) 689-6049

Specialties & licenses 1

Addresses

Other names 1

• Russo Rehabilitation Medicine LTD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Russo, MD

  • Physical Medicine & Rehabilitation Physician
  • Peoria, IL
  • NPI 1669537155
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639140833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 209",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145098",
            "telephone_number": "309-693-2244",
            "fax_number": "309-693-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 218",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145098",
            "telephone_number": "309-693-2244",
            "fax_number": "309-693-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK I RUSSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIARAVALLE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-689-6049",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russo Rehabilitation Medicine LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon D. Fraikes, P.T.
• Whitney Frake
• Diana L France, APN, CNS
• Denise Marie Arayata Francisco, M.D.
• Kathleen Franczak, LCPC
• Brenda Frank, CCC-SLP/L
• Whitney Marie Frank, NP-C
• Heather Franklin, FNP
• Kennedy Franklin, MD
• Mary Kathryn Franks, APRN, NP-C

• Rehabilitation Clinic/Center in Peoria, IL
• Providers in Peoria, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.