Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699809202 Individual Practitioner Male Practitioner

Dr. Stephen P Russo , DMD

Dentist - Periodontics • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Russo, DMD is a registered healthcare professional specializing in Dentist - Periodontics in Chicago, IL. Practice services are available at 25 E. WASHINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25 E. Washington St
Suite 1125

Chicago, IL 60602

Telephone 3126412572
Fax 3126416621
Associated Practice Facility / Clinic
🏢 Periodontics Ltd. Facility NPI 1336219856

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Chicago, IL (229 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License IL 019-026457

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Mark Rosen , DDS

Dentist - Periodontics

NPI 1235263823

Doctor of Dental Surgery

Dr. Douglas Gorin , DDS

Dentist - Periodontics

NPI 1356475032

Doctor of Dental Surgery

Doctor of Dental Surgery, Master of Science, Doctor of Dental Medicine

Dr. Richard Yamada , DDS

Dentist - Periodontics

NPI 1417081183

Doctor of Dental Surgery

Dr. Richard Marinello , DDS

Dentist - Periodontics

NPI 1922132505

Doctor of Dental Surgery

Dr. Daniel Weber , DDS

Dentist - Periodontics

NPI 1972781961

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 31, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2014

Registered at 25 E. WASHINGTON ST, SUITE 1125, CHICAGO, IL 60602 (Tel: 3126412572)

📍
Updated Business Mailing Address March 31, 2014

Registered at 25 E. WASHINGTON ST, SUITE 1125, CHICAGO, IL 60602 (Tel: 3126412572)

👤
Provider Name / Credentials Updated March 31, 2014

Recorded as STEPHEN RUSSO, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2014

Dentist (License #019-026457 in IL)

🟢
Initial NPI Registration & Enumeration March 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699809202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2007
Last Update: March 31, 2014
Sole Proprietor: No

Mailing Address

25 E. Washington St, Suite 1125

Chicago, IL 60602

Phone: 3126412572

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.