Russeau, Kevin J

Russeau, Kevin J is an individual health care provider with primary practice located at 311 S Naperville Rd Suite C, Wheaton IL 60187-5473. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Russeau, Kevin J can be contacted via phone (630) 690-4040.

Contact Information

Primary practice address
311 S Naperville Rd Suite C Wheaton IL 60187-5473
Phone: (630) 690-4040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 038-007072 Illinois

Profile Details

NPI number 1508870080
LBN Legal business name Russeau, Kevin J
Credentials DC, DIBCN, DABFP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Oct 10th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508870080 NPPES
Other 79863 HEALTH PARTNERS
Other 4655917 HEALTH PARTNERS
Other 8228039001 HEALTH PARTNERS
Other 022-22298 HEALTH PARTNERS

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