Organization Active NPI

Dr Ann Marie Russell, Chiropractor, SC

  • Chiropractor
  • Bolingbrook, IL
National Provider Identifier
1720193279
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR ANN MARIE RUSSELL, CHIROPRACTOR, SC
Practice address
498 W Boughton Rd
Suite 102
Bolingbrook, IL 60440-1893
Phone
(630) 759-4949
Fax
(630) 759-1049
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Dr. Ann Marie F Russell, D.C.
Title
President
Phone
(630) 759-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

498 W Boughton Rd
Suite 102
Bolingbrook, IL 60440-1893

Mailing address

498 W Boughton Rd
Suite 102
Bolingbrook, IL 60440-1893
Phone (630) 759-4949

National Provider Directory

National Provider Directory

Locations

477 N Bolingbrook Dr
Bolingbrook, IL 60440
Phone (630) 759-4949

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1720193279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 W BOUGHTON RD",
            "address_2": "SUITE 102",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401893",
            "telephone_number": "630-759-4949",
            "fax_number": "630-759-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 W BOUGHTON RD",
            "address_2": "SUITE 102",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401893",
            "telephone_number": "630-759-4949",
            "fax_number": "630-759-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANN MARIE RUSSELL, CHIROPRACTOR, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-759-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.