FRANK I RUSSO

PEORIA, IL
NPI1639140833
Entity TypeOrganization
Authorized ContactCARRIE LYN CHIARAVALLE
Director
309-689-6049
Organization Subpart ?No
Primary Taxonomy261QR0400X Clinic/Center Rehabilitation
Enumeration Date2006-01-27
Last Update Date2020-08-22
Business Address
FRANK I RUSSO
5401 N KNOXVILLE AVE SUITE 218
PEORIA, IL 61614-5098
Phone number: 309-693-2244
Mailing Address
FRANK I RUSSO
5401 N KNOXVILLE AVE SUITE 209
PEORIA, IL 61614-5098
Phone number: 309-693-2244
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