Russo, Timothy Morgan

Russo, Timothy Morgan is an individual health care provider with primary practice located at 401 Harrison St , Oak Park IL 60304-1427. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Russo, Timothy Morgan can be contacted via phone (708) 383-2257.

Contact Information

Primary practice address
401 Harrison St Oak Park IL 60304-1427
Phone: (708) 383-2257
Fax: (708) 383-0739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X 213.000337 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X 211.000298 Illinois

Profile Details

NPI number 1992206577
LBN Legal business name Russo, Timothy Morgan
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2018
Last updated Feb 28th, 2018 - about 8 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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