Timothy J. Russell, D.O.

NPI #1962418103 in Tinley Park, Illinois

Provider Information

NPI Number: 1962418103
Entity Type: Individual
Name: Timothy J. Russell, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Jul 31, 2006
Last Updated: Jun 15, 2022

Practice Location

Address: 17495 LA GRANGE RD
City: Tinley Park
State: Illinois
ZIP Code: 60487-7581
Phone: (708) 406-3243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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