DR. SUSAN RENEE RUSSELL (NPI# 1245486331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245486331 |
| Entity Type | Individual |
| Full Name | DR. SUSAN RENEE RUSSELL |
| Credential | M.D. |
| Practice Address |
675 N Saint Clair St Suite 18-250 Chicago IL 60611-5975 |
| Practice Telephone | 3126951800 |
| Practice Fax Number | 3126954741 |
| Mailing Telephone | 3126951800 |
| Mailing Fax Number | 3126954741 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2012-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036.117380 | IL | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036.117380 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036.117380 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184045379 | Susan Elizabeth Russell | Counselor | 201 Maple St, East Jordan, MI 49727-9620 | 2013-12-15 |
| 1477806396 | Susan Kay Russell | Licensed Practical Nurse | 913 W Holmes Rd Ste 189, Lansing, MI 48910-0434 | 2012-10-16 |
| 1083895296 | Susan Payne Russell | Social Worker | 1085 Tunnel Road, Suite#3, Asheville, NC 28805-2039 | 2007-11-15 |
| 1235348137 | Susan Marie Russell | Counselor | 4018 Medina Rd Ste D, Medina, OH 44256-9675 | 2007-05-21 |
| 1811000441 | Susan Ann Russell | Pharmacist | I-40, Exit 102, San Fidel, NM 87049 | 2006-08-17 |
| 1194733618 | Susan M. Russell | Speech-Language Pathologist | 10749 E 29th Pl, Tulsa, OK 74129-7805 | 2006-08-03 |
| 1134501810 | Susan Hallie Russell | Counselor | 5855 Executive Center Dr Ste 104, Charlotte, NC 28212-8880 | 2015-06-18 |
| 1558644617 | Susan F Russell | Psychologist | 4343 Shallowford Rd, Suite H-5, Marietta, GA 30062-5023 | 2011-09-26 |
| 1477717577 | Susan C Russell | Counselor | 175 W B St Ste I, Springfield, OR 97477-4575 | 2008-07-17 |
| 1487793907 | Susan M. Russell | Counselor | 319 Union St, Bangor, ME 04401-4607 | 2007-02-05 |
| Street Address |
675 N SAINT CLAIR ST SUITE 18-250 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-5975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459099 | Dana Rigsby Gossett | Obstetrics & Gynecology | 675 N Saint Clair St, Galter 14-200, Chicago, IL 60611-5975 | 2005-06-28 |
| 1679180921 | Mary Grace Kaleta | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2020-09-29 |
| 1790313955 | Jill Christine Maseman | Registered Nurse | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2020-03-31 |
| 1487291092 | Jacqueline Andrea Savinon | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2019-12-02 |
| 1518527589 | Monet Danielle Welton | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2019-06-20 |
| 1598245532 | Catherine Cassingham | Social Worker | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-08-20 |
| 1831677145 | Caroline Lee | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-07-30 |
| 1942796982 | Lindsay Victoria Brown | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-07-02 |
| 1437647989 | Margarita Mana-ay | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-04-30 |
| 1447762018 | Melissa Minh Nguyet Truong | Physician Assistant | 675 N Saint Clair St, 15th Floor, Suite 200, Chicago, IL 60611-5975 | 2017-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861835985 | Christie Ann Brillante | Internal Medicine | 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 | 2013-04-08 |
| 1154564607 | Kevin Patrick Haas | Internal Medicine | 840 S Wood St # Mc719, Chicago, IL 60612-4325 | 2009-04-14 |
| 1427194638 | Diane Tate | Internal Medicine | 6547 N Avondale Ave, Suite 001, Chicago, IL 60631-1573 | 2007-01-29 |
| 1760534192 | Anita A Shah | Internal Medicine | 2800 N Sheridan Rd Ste 301, Chicago, IL 60657-6158 | 2007-01-17 |
| 1891853016 | Romeo Lee Uy | Internal Medicine | 5140 North California Ave, Suite 620, Chicago, IL 60625 | 2006-12-04 |
| 1861560724 | Alvin Jerry Schonfeld | Internal Medicine | 438 W Saint James Pl, Chicago, IL 60614-2750 | 2006-11-30 |
| 1154405801 | Nicholas Gross | Internal Medicine | 1414 N Wells St, Apt. 407, Chicago, IL 60610-1374 | 2006-10-25 |
| 1285724765 | Howard Arya Jaffe | Internal Medicine | 820 South Damen Street, Pccsm, Dept Med (111), Jesse Brown Va Medical Center, Chicago, IL 60612 | 2006-10-13 |
| 1346340650 | Ricky Johnson | Internal Medicine | 2011 E 75th St, Chicago, IL 60649-3607 | 2006-09-25 |
| 1215041462 | Patricia S Mikes Md Sc | Internal Medicine | 201 E Huron St Ste 11-245, Chicago, IL 60611-2867 | 2006-08-17 |
| Find all providers in CHICAGO | ||||
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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.