Russo, Ronald C

Russo, Ronald C is an individual health care provider with primary practice located at 2504 Galen Drive Suite 107, Champaign IL 61821-7048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Russo, Ronald C can be contacted via phone (217) 398-4856.

Contact Information

Primary practice address
2504 Galen Drive Suite 107 Champaign IL 61821-7048
Phone: (217) 398-4856
Fax: (217) 373-5214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X Illinois

Profile Details

NPI number 1447380985
LBN Legal business name Russo, Ronald C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 19 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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