Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Cody Nathaniel Russell, MD

Individual provider Surgery Physician · NPI 1104675024

Dr. Cody Nathaniel Russell, MD is a Surgery Physician in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1775 Dempster St # 48
Park Ridge, IL 60068-1143
Phone: (847) 723-2210
Fax: (847) 723-6987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125086836 (IL)

Record details

NPI number1104675024
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2024
Last updated in NPPESJuly 2, 2025
Certification dateJune 17, 2025

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