Dr Lucille R Russo, M D | |
28375 Davis Pkwy, Suite 901, Warrenville, IL 60555-3030 | |
(630) 653-4240 | |
(630) 225-4034 |
Full Name | Dr Lucille R Russo |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 32 Years |
Location | 28375 Davis Pkwy, Warrenville, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730190927 | NPI | - | NPPES |
036090412 | Medicaid | IL | |
P01244969 | Other | IL | MEDICARE RAILROAD (INDIVIDUAL) |
206147208 | Other | IL | MEDICARE (INDIVIDUAL) |
CA4748 | Other | IL | MEDICARE RAILROAD (GROUP) |
206147 | Other | IL | MEDICARE (GROUP) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036-090412 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Delnor Community Hospital | Geneva, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Dupage Physician Group | 5890696231 | 977 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Dr Lucille R Russo, M D 28375 Davis Pkwy, Suite 901, Warrenville, IL 60555-3030 Ph: (630) 653-4240 | Dr Lucille R Russo, M D 28375 Davis Pkwy, Suite 901, Warrenville, IL 60555-3030 Ph: (630) 653-4240 |
Dr. James M Bowles, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 28375 Davis Pkwy, Suite 901, Warrenville, IL 60555 Phone: 630-653-4240 Fax: 630-225-4033 | |
Dr. Lynn A Fesenmyer, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 28375 Davis Pkwy, Suite 901, Warrenville, IL 60555 Phone: 630-653-4240 Fax: 630-225-4033 | |
Raanan Alter, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-933-4959 | |
Radha Krishna Upputuri, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 28375 Davis Pkwy, Warrenville, IL 60555 Phone: 630-225-4060 Fax: 630-315-1505 | |
Dr. Kenneth Ridge Macek, M. D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 28375 Davis Pkwy, Suite 901, Warrenville, IL 60555 Phone: 630-653-4240 Fax: 630-255-4034 |