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

Timothy J. Russell, DO

Individual provider Emergency Medicine Physician · NPI 1962418103

Timothy J. Russell, DO is an Emergency Medicine in Tinley Park, Illinois. Graduated from Chicago College of Osteopathy in 1982, 44 years ago. Practices with Dupage Medical Group Ltd, a 1,328-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
44
Trained at
Chicago College of Osteopathy
Licensed in
IL
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone: (708) 406-3243
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036-0685741 (IL)

Record details

NPI number1962418103
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022
Mailing address1860 Paysphere Cir, Chicago, IL 60674-0018

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolCHICAGO COLLEGE OF OSTEOPATHY
Graduated 1982 (44 years in practice)
Group practice Dupage Medical Group Ltd — 1328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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