DR. RUSSELL E ANDERSON (NPI# 1124328794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124328794 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL E ANDERSON |
| Practice Address |
1258 S Route 12 Fox Lake IL 60020-1950 |
| Mailing Address |
1350 S Route 12 Fox Lake IL 60020-1930 |
| Practice Telephone | 8475874966 |
| Practice Fax Number | 8475874731 |
| Mailing Telephone | 8475874206 |
| Mailing Fax Number | 8475874731 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2016-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051037672 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895473 | Russell Dan Anderson | Registered Nurse | 4428 Sw 105th Dr, Gainesville, FL 32608-7139 | 2020-09-10 |
| 1760538037 | Russell Lee Anderson | Family Medicine | 78270 Highway 1081, Covington, LA 70435-4646 | 2007-01-26 |
| 1801963376 | Russell Anderson | Internal Medicine | 514 North Brightleaf Blvd Suite 1100, Smithfield, NC 27577 | 2006-11-29 |
| 1982228235 | Russell Anderson | Psychologist | 2810 E Causeway Approach, Mandeville, LA 70448-3502 | 2020-06-02 |
| 1972965937 | Russell Anderson | Social Worker | 150 Shoup Ave, Idaho Falls, ID 83402-3657 | 2016-03-28 |
| 1548407513 | Russell Steven Anderson | Family Medicine | 1550 N Main St, Suite E, Layton, UT 84041-1757 | 2009-01-13 |
| 1619175288 | Russell N Anderson | Chiropractor | 20825 South St, Suite A, Tehachapi, CA 93561-6438 | 2007-07-05 |
| 1689885436 | Russell L. Anderson | Orthopaedic Surgery | 1150 45th St, West Palm Beach, FL 33407-2361 | 2007-05-24 |
| 1609097260 | Russell D Anderson | Chiropractor | 128 North Oakwood Road, Enid, OK 73703-4946 | 2007-05-01 |
| 1013043009 | Russell Scott Anderson | Specialist | 1704 23rd Ave, Meridian, MS 39301-3103 | 2007-02-26 |
| Street Address |
1258 S ROUTE 12 |
| City | FOX LAKE |
| State | IL |
| Zip Code | 60020-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043510621 | Northwestern Lake Counseling | Early Intervention Provider Agency | 17 West Grand Ave., Fox Lake, IL 60020 | 2010-10-28 |
| 1124074653 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1350 S Route 12, Fox Lake, IL 60020 | 2006-05-26 |
| 1063903417 | Crystal C Scholten | Physical Therapist | 1294 S Route 12, Fox Lake, IL 60020 | 2018-05-22 |
| 1639525116 | Fox Lake Fire Protection District | General Acute Care Hospital | 306 Washington Ave, Fox Lake, IL 60020 | 2016-05-13 |
| 1598075269 | David Torres | Counselor | 17 W Grand Ave, Fox Lake, IL 60020 | 2010-10-15 |
| 1972843175 | Surgical Assistant Innovations, LLC | Registered Nurse | 1236 Shagbark Ct, Fox Lake, IL 60020-0806 | 2013-02-25 |
| 1073982583 | Sharilee Shaver | Social Worker | 7105 Saint Tropez Ct, Fox Lake, IL 60020-1040 | 2015-09-15 |
| 1992893010 | Western Lake | Community/Behavioral Health | 21 W Grand Ave, Fox Lake, IL 60020-1209 | 2006-10-11 |
| 1356679534 | Darlene Krieger | Counselor | 17 W Grand Ave, Fox Lake, IL 60020-1209 | 2009-11-25 |
| 1992330278 | Nancy D Bourke | Counselor | 34 W Grand Ave, Fox Lake, IL 60020-1224 | 2020-03-07 |
| Find all providers in zip 60020 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295612 | Kameron Wehde | Pharmacist | 997 Talismon Way, Fox Lake, IL 60020-2126 | 2020-01-28 |
| 1942797022 | Jorid Keri | Pharmacist | 1350 S Us Highway 12, Fox Lake, IL 60020-1930 | 2018-04-15 |
| 1972909059 | Stephen Rudawski | Pharmacist | 161 S Us Highway 12, Fox Lake, IL 60020-1796 | 2014-11-17 |
| 1699226290 | Navneet Singh | Pharmacist | 1350 S Route 12, Fox Lake, IL 60020-1930 | 2016-10-18 |
| 1205283777 | Michl Schmidt | Pharmacist | 1350 S Route 12, Fox Lake, IL 60020-1930 | 2016-05-15 |
| 1952757437 | Nadejda Losseva | Pharmacist | 1350 S Route 12, Fox Lake, IL 60020-1930 | 2016-05-13 |
| 1598157539 | Amanda Reising | Pharmacist | 61 S Route 12, Fox Lake, IL 60020-1750 | 2015-02-27 |
| 1114200151 | Altijana Gallup | Pharmacist | 61 S Route 12, Fox Lake, IL 60020-1750 | 2011-09-26 |
| 1588947840 | Ashish Patel | Pharmacist | 61 S Route 12, Fox Lake, IL 60020-1750 | 2011-09-23 |
| 1770864266 | Ningyu Chen | Pharmacist | 61 S Route 12, Fox Lake, IL 60020-1750 | 2011-08-29 |
| Find all providers in FOX LAKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.