DERICK M RUSSELL


Address: 6326 West Roosevelt Rd, Oak Park, IL 60304
Phone: 7086913562

DERICK M RUSSELL (NPI# 1710907480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710907480
Entity Type Individual
Full Name DERICK M RUSSELL
Credential MPT
Practice Address 6326 West Roosevelt Rd
Oak Park
IL 60304
Mailing Address 1101 Circle Ave
Forest Park
IL 60130-2326
Practice Telephone 7086913562
Practice Fax Number 7086609356
Mailing Telephone 7086913562
Mailing Fax Number 7086609356
Enumeration Date 2006-07-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 6326 WEST ROOSEVELT RD
City OAK PARK
State IL
Zip Code 60304

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689288532 Kane Physiotherapy, LLC Physical Therapist 617 S. Harvey Ave., Oak Park, IL 60304 2020-09-08
1982221909 Rachel Hunter Marriage & Family Therapist 283 Fillmore Street, Oak Park, IL 60304 2020-06-26
1073086211 Miguel N Reyes Jr. Behavioral Analyst 6930 Roosevelt Rd., Oak Park, IL 60304 2019-01-10
1144722687 Jesus Torres Behavior Technician 6930 W Roosevelt Rd, Oak Park, IL 60304 2018-03-01
1184143190 Ruth Sharel Babcock Social Worker 927 S. Kenilworth Ave., Oak Park, IL 60304 2017-09-12
1053832774 Anna M Bonick Doula 528 S. Taylor Ave., Oak Park, IL 60304 2017-07-03
1982968806 Monica Singhvi Family Medicine 610 S Maple Ave Ste 4600, Oak Park, IL 60304 2012-06-25
1588954135 Rachana Parag Shah Physical Medicine & Rehabilitation 610 S. Maple #3420, Oak Park, IL 60304 2011-04-17
1972825818 Meghan Mcintyre Counselor 610 South Maple Avenue, Suite 3400, Oak Park, IL 60304 2010-02-19
1992953954 Beverly Harrison Dale Speech-Language Pathologist 520 S. Maple Ave, Roph, Oak Park, IL 60304 2008-09-03
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992297048 Kenneth White Physical Therapist 25900 Greenfield Rd, Oak Park, MI 48237-1292 2018-06-05
1275775421 Functional Health and Wellness Physical Therapist 852 Madison St, Oak Park, IL 60302-4441 2009-04-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659986891 Murtaza Aziz Physical Therapist 1431 N Western Ave Ste 140, Chicago, IL 60622-1770 2020-09-14
1902416720 Epicore Physical Therapy Physical Therapist 1660 N La Salle Dr Apt 2708, Chicago, IL 60614-6021 2020-08-06
1356968374 Genevieve Joy Owen Physical Therapist 555 Busse Hwy Unit C1, Park Ridge, IL 60068-3189 2020-06-26
1518597772 Stability Physical Therapy and Wellness, LLC Physical Therapist 5031 W Balmoral Ave, Chicago, IL 60630-1507 2020-01-16
1154972719 Antonio Marquez Physical Therapist 7425 Janes Ave Ste 200, Woodridge, IL 60517-2358 2019-09-25
1376198978 Natalie N Ruebke Physical Therapist 251 Marketplace Dr # 2, Freeburg, IL 62243-4082 2019-08-09
1902360241 Stephanie Lynne Burkhart Physical Therapist 12251 W 159th St, Homer Glen, IL 60491-7847 2019-01-30
1003388943 Scoliosis Therapy Care and More LLC Physical Therapist 4n369 Booth Tarkington St, St Charles, IL 60175-7731 2018-12-17
1912478082 Brandon Donnelly Physical Therapist 2200 Fort Jesse Rd Ste 230, Normal, IL 61761-6291 2018-12-16
1497251086 John William Herbert Physical Therapist 1316 N Route 59, Naperville, IL 60563-4286 2018-04-03
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Competitor

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City OAK PARK
Zip Code 60304

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Dataset Information

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.

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