DR. CODY RUSSELL, MD
Surgery
Active
Individual
NPI: 1104675024
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery | 208600000X | Yes | 125086836 (IL) |
Frequently Asked Questions
NPI 1104675024 is the National Provider Identifier for DR. CODY RUSSELL, MD, a Surgery provider located in Park Ridge, IL. This NPI was enumerated on May 14, 2024.
DR. CODY RUSSELL, MD practices at 1775 DEMPSTER ST # 48, Park Ridge, IL 60068.
Quick Facts
- NPI
- 1104675024
- Type
- Individual
- Enumerated
- May 14, 2024
- Last Updated
- Jul 2, 2025
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