IndividualActive
Mark Russell, MD
NPI 1154827756 · Hematology (Pathology) Physician · Maywood, IL
Provider details
- NPI number
- 1154827756
- Entity type
- Individual
- Primary specialty
- Hematology (Pathology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036.159014 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9000
Approximate (ZIP-level) locationGet directions
Mailing address
2155 Dogwood Dr Apt 263
Lisle, IL 60532-1789
Registry dates
- Enumerated
- 2018-04-03
- Last updated
- 2022-06-02
- Certified
- 2022-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.