Holly Russell
M.D. | Pediatrics | Female
Holly Russell, M.D. is a Tinley Park, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Holly Russell is
18210 La Grange Rd, Suite 205, Tinley Park, Illinois - 60487-7722. She can be contacted on phone at
708-478-7800 and fax number 708-478-7870.
Holly Russell is a sole proprietor of her business.
NPI number (Unique professional ID) for Holly Russell is
1174727267 which was assigned by NPPES on 12 Jun, 2007 and it was last updated on 23 Feb, 2022.
Holly Russell license number is
036120579 for Pediatrics (208000000X) in Illinois.
Holly Russell is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Holly Russell basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Holly Russell |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Holly Russell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 18210 La Grange Rd, Suite 205
Tinley Park, IL, 60487-7722
United States |
|---|
| Phone Number : | 708-478-7800 |
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| Fax Number : | 708-478-7870 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174727267 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jun, 2007 |
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| Last Updated On : | 23 Feb, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Holly Russell are as mentioned. Primary taxonomy code for Holly Russell, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036120579 | IL |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | 2005017735 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Holly Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036120579 | MEDICAID | IL | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | hrussell190933@direct.luriechildrens.org
| No affiliation |
|
| 18210 LA GRANGE RD, SUITE 205
TINLEY PARK, IL, 60487-7722
United States |
FHIR
(FHIR URL) | cc_hahn_pediatrics_nurse_pool100994@direct.luriechildrens.org
| No affiliation |
|
| 18210 LA GRANGE RD, SUITE 205
TINLEY PARK, IL, 60487-7722
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 18210 La Grange Rd Ste 205
Tinley Park, IL, 60487-7725
United States |
|---|
Business Location:
Patients can refer following map for directions to
Holly Russell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.