NPI 1669537155

Frank Russo, MD

Practitioner Physical Medicine & Rehabilitation Physician Peoria, IL

Practice location

Address: 6501 N Sheridan Rd, Peoria, IL 61614-2932
Phone: (309) 692-8110
Fax: (309) 692-8673

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 036049838 (IL)

Other Physical Medicine & Rehabilitation providers in Illinois →

Registry record

NPI: 1669537155
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Dec 2006
Record last updated: 12 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.