TIMOTHY J. RUSSELL

TINLEY PARK, IL
NPI1962418103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036-0685741)
Enumeration Date2006-07-31
Last Update Date2022-06-15
Business Address
TIMOTHY J. RUSSELL D.O.
17495 LA GRANGE RD
TINLEY PARK, IL 60487-7581
Phone number: 708-406-3243
Mailing Address
TIMOTHY J. RUSSELL D.O.
1860 PAYSPHERE CIR
CHICAGO, IL 60674-0018
Phone number: 630-469-9200