Russell Lloyd Avellana
Physician Assistant

Address: 240 E Huron St, Suite 1-200, Chicago, IL 60611-2909
Phone: 3125031851

Russell Lloyd Avellana (NPI# 1417343278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1417343278
Entity Type Individual
Full Name Russell Lloyd Avellana
Gender Male
Practice Address 240 E Huron St
Suite 1-200
Chicago
IL 60611-2909
Practice Telephone 3125031851
Mailing Address 240 E Huron St
Suite 1-200
Chicago
IL 60611-2909
Mailing Telephone 3125031851
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2015-04-08
Last Update Date 2016-09-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers PA60672295 WA

Physician Overview

NPI 1417343278
PAC ID by PECOS 2163717075
Professional Enrollment ID I20160816003092
Full Name Russell Lloyd Avellana
Organization Legal Name MULTICARE HEALTH SYSTEM
Phone Number 2533727788
Gender M
Graduation Year 2009
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 7719899897
Number of Group Practice Members 1300
Accepts Medicare Assignment Y
Report Quality Measures Y

Office Location

Street Address 240 E HURON ST
SUITE 1-200
City CHICAGO
State IL
Zip Code 60611-2909

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568505238 Rosalind Ramsey-goldman Internal Medicine 240 E Huron St, Galter 14-100, Chicago, IL 60611-2909 2007-02-14
1245715705 Basel Ahmad Student in an Organized Health Care Education/Training Program 240 E Huron St, Chicago, IL 60611-2909 2018-10-01
1720563372 Gabriel Knight Student in an Organized Health Care Education/Training Program 240 E Huron St, Chicago, IL 60611-2909 2018-09-29
1528543675 Margaret Marie Mumm Student in an Organized Health Care Education/Training Program 240 E Huron St, Chicago, IL 60611-2909 2018-09-25
1700361870 Yuyang Yang Student in an Organized Health Care Education/Training Program 240 E Huron St, Chicago, IL 60611-2909 2018-09-25
1790269645 Jeffrey Larson Student in an Organized Health Care Education/Training Program 240 E Huron St, Chicago, IL 60611-2909 2018-09-17
1417451022 Natalie Avella Cameron Student in an Organized Health Care Education/Training Program 240 E Huron St, Chicago, IL 60611-2909 2018-03-19
1063915874 Francesca Cardello Psychiatry & Neurology 240 E Huron St, Chicago, IL 60611 2018-03-18
1215454376 Mateus Cabral Cecilio Lima Student in an Organized Health Care Education/Training Program 240 E Huron St, Chicago, IL 60611-2909 2017-08-29
1134646342 Shilpa Reddy Student in an Organized Health Care Education/Training Program 240 E Huron St, Chicago, IL 60611-2909 2017-08-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457823809 Brandon Tyler Worley Student in an Organized Health Care Education/Training Program Northwestern Memorial Hospital Arkes Family Pavillion, 676 N St Clair St, Suite 1600, Chicago, IL 60611 2018-12-26
1952879942 Illinois Physicians Wellness Group LLC Family Medicine 625 North Michigan Avenue, Suite 1920, Chicago, IL 60611 2018-11-07
1750860177 Muhammad Asim Khan Specialist 60 E Delaware Pl, Chicago, Il 60611, 14th Floor Urology- Andrology Clinic, Chicago, IL 60611 2018-08-07
1841776515 Johna Peterson Counselor 136 E Chestnut St, Chicago, IL 60611 2018-07-16
1104311745 Peggy Longman Kepple Counselor Positive Sobriety Institute, 680 N. Lake Shore Dr. Suite 800, Chicago, IL 60611 2018-06-26
1316438278 Deborah Lynn Fenn Psychologist 500 N Michigan Ave Ste 1520, Chicago, IL 60611 2018-05-25
1760979736 Emerging Vision Inc Technician/Technologist 520 N. Michigan Ave, The Shops North Bridge, Ste 124, Chicago, IL 60611 2018-04-16
1740785849 Hamed Esfandiari Ophthalmology 220 E Chicago Ave, Chicago, IL 60611 2018-03-29
1215430020 Andrew Armstrong Lawson Pediatrics 225 E Chicago Ave Dept Of, Chicago, IL 60611 2018-03-18
1538668520 Lauren Christina Warn Registered Nurse 233 E. Erie Street Suite 304, Chicago, IL 60611 2018-02-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619434602 Roshni K Patel Physician Assistant 676 N Saint Clair St Ste 1325, Chicago, IL 60611-3194 2019-02-26
1396201927 Allison Holcomb Physician Assistant 1147 S Wabash Ave Ste 200, Chicago, IL 60605-2348 2019-02-19
1457825481 Ashley Ann Worthington Physician Assistant 8131 W Catherine Ave, Chicago, IL 60656-1526 2019-01-12
1306319173 Gerardo Garcia Physician Assistant Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 2019-01-04
1447721790 Jamie Hodge Schubert Physician Assistant 3665 N Broadway St, Chicago, IL 60613-4567 2018-12-16
1588135396 Leeanna Steele Physician Assistant 5100 S Cornell Ave Apt 608, Chicago, IL 60615-4231 2018-12-06
1194295915 Elizabeth Hurley Physician Assistant 8 S Michigan Ave # 25, Chicago, IL 60603-3357 2018-12-05
1598232910 Bradley A Ivan Physician Assistant 2551 N Clark St Ste 203, Chicago, IL 60614-7738 2018-10-24
1447726161 Danielle Disanti Physician Assistant 2336 W School St Apt 3, Chicago, IL 60618-6355 2018-10-20
1992270540 Margaret Avila Keeler Physician Assistant 1318 W George St Apt 2c, Chicago, IL 60657-4127 2018-10-10
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Competitor

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City CHICAGO
Zip Code 60611

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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