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

Dr. Stephen P Russo, DMD

Individual provider Periodontics · NPI 1699809202

Dr. Stephen P Russo, DMD is a Periodontics in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

25 E Washington St Ste 1125
Chicago, IL 60602
Phone: (312) 641-2572
Fax: (312) 641-6621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 019-026457 (IL)

Record details

NPI number1699809202
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 15, 2007
Last updated in NPPESMarch 31, 2014
Mailing address25 E. Washington St, Suite 1125, Chicago, IL 60602

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