Dr. Russell Laverne Elliott , DC
Chiropractor • Dekalb, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Russell Elliott has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Russell Elliott, DC was a registered Chiropractor practicing in Dekalb, IL. Throughout an active medical career spanning 12 years, Dr. Elliott provided care at the practice location at 125 BARB BLVD until profile deactivation on 2019-07-16.
Practice Location & Contact Primary Location
125 Barb Blvd
Dekalb, IL 601154632
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Dekalb, IL
Practicing in Dekalb, IL (4730 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 16, 2019
NPI status registered as active in NPPES database
Registered at 125 BARB BLVD, DEKALB, IL 601154632 (Tel: 8157567034)
Registered at 125 BARB BLVD, DEKALB, IL 601154632 (Tel: 8157567034)
Recorded as RUSSELL ELLIOTT, D.C.
Chiropractor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
125 Barb Blvd
Dekalb, IL 601154632
Phone: 8157567034
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