DR. RUSSELL G ROBERTSON (NPI# 1528007655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528007655 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL G ROBERTSON |
| Credential | M.D. |
| Practice Address |
2100 Pfingsten Rd Suite 4028 Glenview IL 60026-1301 |
| Mailing Address |
2650 Ridge Ave Evanston Hospital Rm 1210 Evanston IL 60201-1718 |
| Practice Telephone | 8476571827 |
| Practice Fax Number | 8476571829 |
| Mailing Telephone | 8475701206 |
| Mailing Fax Number | 8475701248 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124430731 | Russell Robertson | Social Worker | 2317 N Hill Field Rd, Ste 103, Layton, UT 84041-4781 | 2014-05-30 |
| 1174621262 | Russell Wright Robertson | Otolaryngology | 85 Seymour Street, Suite 519, Hartford, CT 06106 | 2006-09-20 |
| Street Address |
2100 PFINGSTEN RD SUITE 4028 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60026-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720036767 | Isidora J Kafkas | Physician Assistant | 2100 Pfingsten Rd, Attention To Acc Nni, Glenview, IL 60026-1301 | 2006-05-04 |
| 1326651167 | Betlhem Reda | Pharmacist | 2100 Pfingsten Rd, Glenview, IL 60026-1301 | 2020-08-30 |
| 1528676418 | Honey Joseph | Pharmacist | 2100 Pfingsten Rd, Glenview, IL 60026-1301 | 2020-07-16 |
| 1619597929 | Amanda Tay | Physical Therapist | 2100 Pfingsten Rd, Glenview, IL 60026-1301 | 2020-04-16 |
| 1457986325 | Krystal Rosalez | Social Worker | 2100 Pfingsten Rd, Glenview, IL 60026-1301 | 2020-03-11 |
| 1457909533 | Michael Aaron Vanwinkle | Physician Assistant | 2100 Pfingsten Rd, Glenview, IL 60026 | 2019-08-31 |
| 1942852637 | Rebecca Michelle Serino | Pharmacist | 2100 Pfingsten Rd, Glenview, IL 60026-1301 | 2019-07-12 |
| 1942783071 | Maleah J Merline | Physical Therapist | 2100 Pfingsten Rd, Glenview, IL 60026-1301 | 2018-09-14 |
| 1336659119 | Aileen J Santos | Nurse Practitioner | 2100 Pfingsten Rd, Glenview, IL 60026-1301 | 2017-10-05 |
| 1700306354 | Matthew Miller | Physician Assistant | 2100 Pfingsten Rd, Glenview, IL 60026-1301 | 2017-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1952868135 | Beltone Holdings IIi, Inc. | Hearing Instrument Specialist | 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 | 2019-02-25 |
| 1588145007 | Trislyn Deett Palmer | Occupational Therapist | Select Rehab, 2600 Compass Road, Glenview, IL 60026 | 2018-08-23 |
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1316474711 | Tru Impact Healthcare Sc | Internal Medicine | 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 | 2017-05-16 |
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1497136642 | Nayantara S. Orekondy | Internal Medicine | 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 | 2015-06-13 |
| 1154745792 | Eleanor Finney Vita | Occupational Therapist | 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 | 2014-02-18 |
| Find all providers in zip 60026 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760421481 | Linda R Bigi | Family Medicine | 2050 Pfingsten Rd, Suite 200, Glenview, IL 60026-1324 | 2006-06-06 |
| 1003855719 | Martin Kovachevich | Family Medicine | 2050 Pfingsten Rd, Suite 330, Glenview, IL 60026-1324 | 2006-06-06 |
| 1306891676 | Jory Alan Natkin | Family Medicine | 2050 Pfingsten Rd, Suite, Glenview, IL 60026-1324 | 2006-05-24 |
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|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1659915171 | Amanda Marie Wilderman | Family Medicine | 1268 Cole Place Rd, Chester, IL 62233-2054 | 2019-10-29 |
| 1699277038 | Eileen A Solis | Family Medicine | 1795 Grandstand Pl Ste 2, Elgin, IL 60123-4980 | 2018-03-01 |
| 1841703584 | Home Physicians of Illinois LLC | Family Medicine | 10027 Frontage Rd, Skokie, IL 60077-1033 | 2017-11-15 |
| 1770953986 | Mrs Integrative Medicine LLC | Family Medicine | 3s630 Glen Dr S, Warrenville, IL 60555-3506 | 2015-09-30 |
| 1447666318 | M & F Medical Services, Ltd | Family Medicine | 5642 N Christiana Ave, Chicago, IL 60659-4555 | 2014-07-10 |
| 1457767774 | Rambha Radhakrishnan | Family Medicine | 2645 W Peterson Ave, Chicago, IL 60659-4017 | 2014-07-08 |
| 1851733133 | Pyramids Advisors, Inc. | Family Medicine | 6427 Dempster St, Morton Grove, IL 60053-2604 | 2013-07-26 |
| 1558707075 | Jean M. Pouget | Family Medicine | 175 Northgate Rd, Riverside, Riverside, IL 60546-1683 | 2013-05-13 |
| 1629411806 | Rahman Fazil Mohammed Abdul | Family Medicine | 9011 W Ballard Rd Apt 1a, Des Plaines, IL 60016-4987 | 2013-04-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.