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1669537155
FRANK RUSSO
PEORIA, IL
NPI
1669537155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: IL 036049838)
Enumeration Date
2006-12-26
Last Update Date
2010-08-12
Business Address
Dr. FRANK RUSSO MD
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: 309-692-8110
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Mailing Address
Dr. FRANK RUSSO MD
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: 309-692-8110
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