MICHAEL JONATHAN RUSSO

SPRINGFIELD, IL
NPI1558822510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036.158890)
Enumeration Date2019-03-30
Last Update Date2026-08-13
Business Address
MICHAEL JONATHAN RUSSO DO
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704-7400
Phone number: 217-862-0800
Mailing Address
MICHAEL JONATHAN RUSSO DO
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704-7400
Phone number: 217-862-0800
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