Dr Douglas Russo, MD | |
5841 S Maryland Ave, Chicago, IL 60637-1443 | |
(773) 702-1000 | |
Not Available |
Full Name | Dr Douglas Russo |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 5841 S Maryland Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871154336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036167243 (Illinois) | Primary |
Entity Name | University Of Chicago |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | The University Of Chicago Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas Russo, MD 150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965 Ph: () - | Dr Douglas Russo, MD 5841 S Maryland Ave, Chicago, IL 60637-1443 Ph: (773) 702-1000 |
Elizabeth Isak, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr Ste 810, Chicago, IL 60611 Phone: 312-926-8811 Fax: 312-926-8855 | |
Malavika Kalyani Perinchery, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc2050, Chicago, IL 60637 Phone: 773-834-0598 | |
Margaret C Schermerhorn, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 | |
Maria Teresa Tam, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2845 N Sheridan Rd, Ste 902, Chicago, IL 60657 Phone: 773-904-8641 Fax: 872-888-1206 | |
Mr. Clyde Harris Lawson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8234 S. Ashland Avenue, Chicago, IL 60620 Phone: 773-874-1400 Fax: 773-874-9245 | |
Rebekah Osgood, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr Ste 810, Chicago, IL 60611 Phone: 312-926-3627 Fax: 312-587-9802 | |
Dr. Sarah Hoque, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200 |