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

Kimberly Ann Russell, PA

Individual provider Physician Assistant · NPI 1184487548

Kimberly Ann Russell, PA is a Physician Assistant in Schaumburg, Illinois. Qualified in 2023, 3 years ago. Practices with Illinois Lung and Interventional Pulmonary Associates PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

800 W Woodfield Rd Ste 106
Schaumburg, IL 60173
Phone: (847) 278-1347
Fax: (847) 285-1610
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.010266 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085.010266 (IL)

Record details

NPI number1184487548
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 30, 2024
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Illinois Lung And Interventional Pulmonary Associates Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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