RUSSO REHABILITATION MEDICINE LTD
NPI 1639140833
Clinic/Center - Rehabilitation in Peoria, IL

NPI Status: Active since January 27, 2006

Contact Information

5401 N KNOXVILLE AVE
SUITE 218
PEORIA, IL
ZIP 61614
Phone: (309) 693-2244
Fax: (309) 693-7606

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  • Organization
  • Clinic/Center
  • Rehabilitation

About RUSSO REHABILITATION MEDICINE LTD

This page provides the complete NPI Profile along with additional information for Russo Rehabilitation Medicine Ltd, a provider established in Peoria, Illinois operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1639140833 assigned on January 2006. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Russo Rehabilitation Medicine Ltd. The authorized official of this NPI record is Ms. Carrie Lyn Chiaravalle (Director)

NPI
1639140833
Provider Legal Name
FRANK I RUSSO
Other Organization Name
RUSSO REHABILITATION MEDICINE LTD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5401 N KNOXVILLE AVE SUITE 218 PEORIA, IL 61614
Location Phone
(309) 693-2244
Location Fax
(309) 693-7606
Mailing Address
5401 N KNOXVILLE AVE SUITE 209 PEORIA, IL 61614
Mailing Phone
(309) 693-2244
Mailing Fax
(309) 693-7606
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-27-2006
Last Update Date
08-22-2020
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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

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CARRIE LYN CHIARAVALLE

Authorized Official Title
DIRECTOR
Authorized Official Phone
(309) 689-6049

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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.
1639140833
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266924086
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 4 + 0 + 8 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1639140833 is valid because the calculated check digit 3 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
1871597450DR. EDWARD A RUFUS JR MD
Individual
Internal Medicine5401 N KNOXVILLE AVE SUITE 306
PEORIA, IL 61614
(309) 691-7890
1972509743 BRUCE BING CHIEN MD
Individual
Anesthesiology (Pain Medicine)5401 N KNOXVILLE AVE STE 212
PEORIA, IL 61614
(309) 691-8973
1184624280DR. ROBERT ALLAN LIZER D.O.
Individual
Family Medicine5401 N KNOXVILLE AVE SUITE 412
PEORIA, IL 61614
(309) 692-4375
1831181726 DIETRA DUFFALA TEICHMANN PH.D.
Individual
Clinical Neuropsychologist5401 N KNOXVILLE AVE SUITE 217
PEORIA, IL 61614
(309) 282-1864
1245223130DR. TIMOTHY M LAHOOD M.D.
Individual
Family Medicine5401 N KNOXVILLE AVE SUITE 400
PEORIA, IL 61614
(309) 689-0909
1144291055DR. ANTOINETTE T LEVASSEUR M.D.
Individual
Obstetrics & Gynecology5401 N KNOXVILLE AVE SUITE 208
PEORIA, IL 61614
(309) 692-7400
1053383471MS. BARBARA J NALL APN
Individual
Nurse Practitioner (Women's Health)5401 N KNOXVILLE AVE SUITE 308
PEORIA, IL 61614
(309) 692-5100
1417920232DR. GENE C CHENG M.D.
Individual
Psychiatry & Neurology (Neurology)5401 N KNOXVILLE AVE SUITE 414
PEORIA, IL 61614
(309) 629-9516
1508839176DR. JAMES J MCCABE MD
Individual
Internal Medicine (Pulmonary Disease)5401 N KNOXVILLE AVE SUITE 203
PEORIA, IL 61614
(309) 692-0422
1033163761PROCTOR HEALTH SYSTEMS
Organization
Clinic/Center (Medical Specialty)5401 N KNOXVILLE AVE SUITE 103
PEORIA, IL 61614
(309) 691-7800
1518910363PROCTOR HEALTH SYSTEMS
Organization
Clinic/Center (Rehabilitation)5401 N KNOXVILLE AVE SUITE 218
PEORIA, IL 61614
(309) 693-2244
1306890108PROCTOR HEALTH SYSTEMS
Organization
Clinic/Center (Primary Care)5401 N KNOXVILLE AVE SUITE 300
PEORIA, IL 61614
(309) 683-1200
1134173917PROCTOR HEALTH SYSTEMS
Organization
Family Medicine5401 N KNOXVILLE AVE SUITE 209
PEORIA, IL 61614
(309) 689-6049
1205883741 JEROME P KRAFT MD
Individual
Orthopaedic Surgery5401 N KNOXVILLE AVE SUITE 400
PEORIA, IL 61614
(309) 692-6644
1740227032 GEORGE W LANE SR. MD
Individual
Orthopaedic Surgery5401 N KNOXVILLE AVE SUITE 400
PEORIA, IL 61614
(309) 692-6644
1396789509 MARY L BRENNAN NP
Individual
Nurse Practitioner5401 N KNOXVILLE AVE SUITE 119
PEORIA, IL 61614
(309) 692-1700
1609892728DR. CHANG KI SONG MD
Individual
Surgery5401 N KNOXVILLE AVE SUITE 217
PEORIA, IL 61614
(309) 691-1092
1013923929 YIBING LI MD
Individual
Physical Medicine & Rehabilitation5401 N KNOXVILLE AVE STE 117
PEORIA, IL 61614
(309) 689-8888
1336255009MS. TRACY ANN BOCHANTIN M.D.
Individual
Obstetrics & Gynecology5401 N KNOXVILLE AVE SUITE 308
PEORIA, IL 61614
(309) 692-5100
1336251958 JENECSIS CASTRO-SKOGLUND
Individual
Internal Medicine5401 N KNOXVILLE AVE SUITE 114
PEORIA, IL 61614
(309) 689-8370

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639140833, enumerated in the NPI registry as an "organization" on January 27, 2006

The provider is located at 5401 N Knoxville Ave Suite 218 Peoria, Il 61614 and the phone number is (309) 693-2244

This medical organization specializes in Clinic/Center with taxonomy code 261QR0400X with a focus in Rehabilitation

This NPI record was last updated on January 27, 2006. 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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