Michael S Russell, Od, LLC
NPI #1154917375 in Naperville, Illinois
Provider Information
- NPI Number
- 1154917375
- Entity Type
- Organization
- Organization Name
- Michael S Russell, Od, LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Dec 13, 2020
- Last Updated
- Dec 13, 2020
Practice Location
- Address
- 1112 S WASHINGTON ST STE 214
- City
- Naperville
- State
- Illinois
- ZIP Code
- 60540-7964
- Phone
- (630) 355-6878
Authorized Official
- Name
- DR. MICHAEL S RUSSELL, OD
- Title
- OWNER, OPTOMETRIST
- Phone
- (630) 355-6878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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