COURTNEY BROOKE SHILL RUSSELL DO
NPI 1134861727
Student in an Organized Health Care Education/Training Program in Peoria, IL

NPI Status: Active since April 13, 2022

Contact Information

530 NE GLEN OAK AVE
PEORIA, IL
ZIP 61637
Phone: (309) 655-4163

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  • Individual
  • Female
  • Student in an Organized Health Care Educ...

About COURTNEY SHILL RUSSELL

This page provides the complete NPI Profile along with additional information for Courtney Shill Russell, a primary care provider established in Peoria, Illinois with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1134861727 assigned on April 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1134861727
Provider Name
COURTNEY BROOKE SHILL RUSSELL DO
Other Name
COURTNEY SHILL
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
530 NE GLEN OAK AVE PEORIA, IL 61637
Location Phone
(309) 655-4163
Mailing Address
530 NE GLEN OAK AVE PEORIA, IL 61637
Mailing Phone
(309) 655-4163
Is Sole Proprietor?
No
Enumeration Date
04-13-2022
Last Update Date
04-13-2022
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A primary care provider (PCP) like Courtney Shill Russell sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134861727
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164166274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 6 + 6 + 2 + 7 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1134861727 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801881446MISS CARA L PHILLIPS PHARMD
Individual
Pharmacist530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2285
1902883648 SAMIR SAXENA MD
Individual
Internal Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 624-8818
1114970761CENTRAL ILLINOIS PATHOLOGY, SC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 624-9011
1548201189DR. RAHUL K. CHAWLA MD
Individual
Pediatrics (Pediatric Critical Care Medicine)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2250
1366485906DR. LAYNE T. LOVELL M.D.
Individual
Family Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2000
1710922182 MICHELLE L BERTKE APN,CNP
Individual
Nurse Practitioner (Family)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2312
1669418380 PAMELA PECENKA ANP
Individual
Nurse Practitioner530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2323
1477599272 MARC D SQUILLANTE D.O.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1750317327 JOSEPH A SOTTILE M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1104852631 JOANNA C GARDNER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1356377626 GREG J TUDOR M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1477580116 LISA T BARKER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1942238613 RICHARD F MILLER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1619906146 PAUL M MATTHEWS M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1255360715 JOHN W HAFNER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1508894098 TIMOTHY J SCHAEFER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1639108020 TROY S CUTLER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1295763787 MICHAEL A CRUZ M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1982633202 LUCILLE A FENDRICK M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1962431585 MARI B BAKER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134861727, enumerated in the NPI registry as an "individual" on April 13, 2022

The provider is located at 530 Ne Glen Oak Ave Peoria, Il 61637 and the phone number is (309) 655-4163

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

This NPI record was last updated on April 13, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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