STEPHEN P RUSSO

CHICAGO, IL
NPI1699809202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist Periodontics
(Licence: IL  019-026457)
Enumeration Date2007-03-15
Last Update Date2014-03-31
Business Address
DR. STEPHEN P RUSSO DMD
25 E. WASHINGTON ST SUITE 1125
CHICAGO, IL 60602
Phone number: 312-641-2572
Mailing Address
DR. STEPHEN P RUSSO DMD
25 E. WASHINGTON ST SUITE 1125
CHICAGO, IL 60602
Phone number: 312-641-2572