Dr Nicholas Anthony Russo, DO - Anesthesiology in Chicago, IL

Dr Nicholas Anthony Russo, DO is a Anesthesiology - Pain Medicine physician based in Chicago, Illinois. Dr Nicholas Anthony Russo is licensed to practice in Illinois (license number 036.167639) and his current practice location is 5841 S Maryland Ave # Mc4028, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at (773) 702-0103.

NPI number for Dr Nicholas Anthony Russo is 1487282695 and his current mailing address is 180 Harvester Dr Ste 110, Burr Ridge, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487282695.

Contact Information

Dr Nicholas Anthony Russo, DO
5841 S Maryland Ave # Mc4028,
Chicago, IL 60637-1443
(773) 702-0103
Not Available

Map and Direction




Physician's Profile

Full NameDr Nicholas Anthony Russo
GenderMale
SpecialityAnesthesiology - Pain Medicine
Location5841 S Maryland Ave # Mc4028, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487282695
  • Provider Enumeration Date: 04/01/2020
  • Last Update Date: 06/24/2024

Medical Identifiers

Medical identifiers for Dr Nicholas Anthony Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487282695NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207LP2900XAnesthesiology - Pain Medicine 036.167639 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas Anthony Russo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nicholas Anthony Russo, DO
180 Harvester Dr Ste 110,
Burr Ridge, IL 60527-6686

Ph: (773) 702-1150
Dr Nicholas Anthony Russo, DO
5841 S Maryland Ave # Mc4028,
Chicago, IL 60637-1443

Ph: (773) 702-0103

Reviews and Comments


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