| Doctor Name: | ELIZABETH MARIE RUSSELL |
| NPI Number: | 1023136207 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT,CLT-LANA |
| License Number: | |
| Business Practice Address: | 143 Bernice Dr 143 Bernice Drive Bensenville, IL - 601063366 |
| Business Phone Number: | 6303502736 |
| Business Fax Number: | 6303502842 |
| Mailing Address: | 1101 Circle Ave, 1101 Circle Avenue FOREST PARK |
| State: | IL |
| Postal Code: | 601302326 |
| Phone Number: | 7084880520 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |