Travis A Russell (NPI# 1093993214, PAC ID# 4688758980) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1093993214 |
| PAC ID by PECOS | 4688758980 |
| Professional Enrollment ID | I20100617000029 |
| Full Name | Travis A Russell |
| Address |
2531 W 75th St 2531d Naperville IL 60540-9000 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2007 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2531 W 75th St, 2531d, Naperville, IL 60540-9000 |
| Street Address |
2531 W 75TH ST 2531D |
| City | NAPERVILLE |
| State | IL |
| Zip | 60540-9000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Falguni R Vasa | Endocrinology | Dupage Medical Group Ltd | 720 S Brom St, Suite 204, Naperville, IL 60540 |
| Krishna S Bathina | Internal Medicine | Dupage Medical Group Ltd | 720 S Brom St, Suite 204, Naperville, IL 60540 |
| Mary Deherrera Codo | Endocrinology | Dupage Medical Group Ltd | 720 S Brom St, Suite 204, Naperville, IL 60540 |
| Mary L Theiler | Qualified Audiologist | Dupage Medical Group Ltd | 808 Rickert Dr, Naperville, IL 60540-0905 |
| Lise Guay Bhatia | Ophthalmology | Dupage Medical Group Ltd | 808 Rickert Dr, Naperville, IL 60540-0905 |
| Aaron R Kelly | Optometry | Dupage Medical Group Ltd | 808 Rickert Dr, Naperville, IL 60540-0905 |
| Mohammed A Khan | Diagnostic Radiology | Dupage Medical Group Ltd | 808 Rickert Dr, Naperville, IL 60540-0905 |
| Anne J Zimmermann | Diagnostic Radiology | Dupage Medical Group Ltd | 808 Rickert Dr, Naperville, IL 60540-0905 |
| Shantan Reddy | Ophthalmology | Dupage Medical Group Ltd | 808 Rickert Dr, Naperville, IL 60540-0905 |
| Carrie G Birdwell | Qualified Audiologist | Dupage Medical Group Ltd | 808 Rickert Dr, Naperville, IL 60540-0905 |
| Find all physicians in zip 60540 | |||
| City | NAPERVILLE |
| Zip Code | 60540 |
| Specialty | CHIROPRACTIC |
| City + Specialty | NAPERVILLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Travis A Russell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.