| Peter Anthony Russo, OD | |
|
2160 S 1st Ave, (17w740 22nd Steert, Oakbrook Terrace, Il. 60181), Maywood, IL 60153 | |
| (630) 627-7399 | |
| (630) 627-7079 |
| Full Name | Peter Anthony Russo |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790759694 | NPI | - | NPPES |
| 46008021 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 46008021 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Anthony Russo, OD 2160 S 1st Ave, (17w740 22nd Steert, Oakbrook Terrace, Il. 60181), Maywood, IL 60153 Ph: (630) 627-7399 | Peter Anthony Russo, OD 2160 S 1st Ave, (17w740 22nd Steert, Oakbrook Terrace, Il. 60181), Maywood, IL 60153 Ph: (630) 627-7399 |
Eileen M Gable, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-4878 | |
Ilyas Optical Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 217 S 5th Ave # B, Maywood, IL 60153 Phone: 708-345-4040 Fax: 708-345-5534 | |
Dr. Megan Ann Hunter, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 |