Dr. Andrew P Russeau
Surgeon Vascular Surgeon
2845 N Sheridan Rd Ste 904
Chicago
, Illinois 60657-6211
Dr. Andrew P Russeau
Surgeon Vascular Surgeon
2845 N Sheridan Rd Ste 904
Chicago
, Illinois 60657-6211
(773) 326-2244
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Andrew P Russeau
- 2845 N Sheridan Rd Ste 904
- Chicago, IL
- Zip : 60657-6211
- Phone : (773) 326-2244
Second Address
- Dr. Andrew P Russeau
- 2845 N Sheridan Rd Ste 904
- Chicago, IL
- Zip : 60657-6211
- Phone : (773) 326-2244
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 036148446 | IL |
| N | 208600000X | Surgeon | 036148446 | IL |
| Y | 2086S0129X | Vascular Surgeon | 036148446 | IL |
National Provider Identifier
| NPI | 1043637150 |
|---|---|
| Provider Name | Dr. Andrew P Russeau |
| First Address | Chicago, IL 60657-6211 |
| Second Address | Chicago, IL 60657-6211 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/03/2014 |
| Last Update Date | 04/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.