Josephine Mary Russo, PA-C
NPI #1518616341 in Westchester, Illinois
Provider Information
- NPI Number
- 1518616341
- Entity Type
- Individual
- Name
- Josephine Mary Russo, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Mar 21, 2022
- Last Updated
- Sep 23, 2024
Practice Location
- Address
- 947 S MANNHEIM RD
- City
- Westchester
- State
- Illinois
- ZIP Code
- 60154-2515
- Phone
- (708) 550-7005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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