DR. Stephen P Russo, DMD is a periodontics dentist in Chicago, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Stephen P Russo, DMD NPI is 1699809202. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
25 E. WASHINGTON ST
SUITE 1125
CHICAGO, IL
ZIP 60602
Phone: (312) 641-2572
Fax: (312) 641-6621
The NPI 1699809202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 3/15/2007 and was last updated on 3/31/2014.