Organization · Type 2 NPI
Frank I Russo
Rehabilitation Clinic/Center · Peoria, IL
NPI number
1639140833
Active
Practice location
5401 N Knoxville Ave, Suite 218
Peoria, IL 61614-5098
Fax (309) 693-7606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Clinic/Center Primary | 261QR0400X | None listed |
Rehabilitation Clinic/Center: Definition to come...
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Other rehabilitation clinic/center providers in Peoria
About NPI 1639140833
Frank I Russo's National Provider Identifier is 1639140833, issued on Jan 27, 2006. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Peoria, IL. The record was last updated on Aug 22, 2020.