Peter Anthony Russo, OD

NPI #1790759694 in Maywood, Illinois

Provider Information

NPI Number: 1790759694
Entity Type: Individual
Name: Peter Anthony Russo, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Feb 15, 2006
Last Updated: Mar 4, 2010

Practice Location

Address: 2160 S 1ST AVE
Address 2: (17W740 22ND STEERT, OAKBROOK TERRACE, IL. 60181)
City: Maywood
State: Illinois
ZIP Code: 60153
Phone: (630) 627-7399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
Ilyas Optical Inc.	Optometrist	Maywood	AI Deep Dive

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