MR. Ronald C Russo, MD is a plastic and reconstructive surgery surgery in Champaign, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. MR. Ronald C Russo, MD NPI is 1447380985. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2504 GALEN DRIVE
SUITE 107
CHAMPAIGN, IL
ZIP 61821-048
Phone: (217) 398-4856
Fax: (217) 373-5214
The NPI 1447380985 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/6/2007 and was last updated on 7/8/2007.