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1174510978
MARINA K RUSSO
SPRINGFIELD, IL
NPI
1174510978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: IL 036102799)
Enumeration Date
2005-10-05
Last Update Date
2022-01-04
Business Address
MARINA K RUSSO MD
1118 LEGACY POINTE DR
SPRINGFIELD, IL 62711
Phone number: 217-787-8870
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Mailing Address
MARINA K RUSSO MD
1118 LEGACY POINTE DR
SPRINGFIELD, IL 62711
Phone number: 217-787-8870
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