According to our database, the NPI number for Holly Russell M.D. is 1174727267 and activated since 16 years ago. Holly Russell M.D. is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 18210 La Grange Rd, Tinley Park, IL 60487. You can also contact Holly Russell M.D. via telephone number is (708) 478-7800. Provider NPI information was last updated on 04/14/2009.

Recently Active NPIs

Overview of Holly Russell M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/12/2007
  • Last updated: 04/14/2009

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: 2005017735
  • License State: MO

Provider Mailing Address

  • Address: 1465 S Grand Blvd Rm 1206
    Saint Louis, MO 63104
  • Phone: 314-577-5694
  • Fax: 314-577-5616

Provider Practice Location

  • Address: 18210 La Grange Rd
    Suite 205
    Tinley Park, IL 60487
  • Phone: 708-478-7800
  • Fax: 708-478-7870

Scope of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: 036120579
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 036120579
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Holly Russell M.D.?
  • A: The npi number for Holly Russell M.D. is 1174727267.
  • Q: What are Holly Russell M.D.'s specialties?
  • A: Holly Russell M.D.'s specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Holly Russell M.D.?
  • A: The medical license number for Holly Russell M.D. is 2005017735 and issued in MO in USA.
  • Q: Where is Holly Russell M.D. practice location?
  • A: Holly Russell M.D. is practicing at 18210 La Grange Rd, Tinley Park, IL 60487.
  • Q: How to contact Holly Russell M.D.?
  • A: You can contact Holly Russell M.D. via 708-478-7800.