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DR. CODY NATHANIEL RUSSELL MD
NPI 1104675024
Surgery in Park Ridge, IL

Active since May 14, 2024
1775 DEMPSTER ST # 48, PARK RIDGE, IL 60068(847) 723-2210(847) 723-6987 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, May 10, 2025, May 14, 2024 (3 updates tracked since 2024).

About Dr. Cody Nathaniel Russell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CODY NATHANIEL RUSSELL MD (NPI 1104675024) is an individual surgery provider in Park Ridge, Illinois, licensed in Illinois (125086836) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1104675024
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CODY NATHANIEL RUSSELLCredential: MD
Location Address1775 DEMPSTER ST # 48Park Ridge, IL 60068-1143
Mailing Address1775 Demper Street #48Park Ridge, IL 60068 · (847) 723-2210
Phone(847) 723-2210
Fax(847) 723-6987
Sole ProprietorNo
Enumeration DateMay 14, 2024
Last NPPES UpdateJuly 2, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1104675024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 125086836
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1775 DEMPSTER ST # 48, Park Ridge, IL 60068
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIA CANAN UNUVAR MD
Colon & Rectal Surgery
1775 DEMPSTER ST # 48
PARK RIDGE, IL 60068
Cook County (847) 723-2210
DR. BIRAAJ MANOHAR MAHAJAN MD
Surgery (Vascular Surgery)
1775 DEMPSTER ST # 48
PARK RIDGE, IL 60068
Cook County (847) 723-2210
KACI KELEHER DO
Surgery
1775 DEMPSTER ST # 48
PARK RIDGE, IL 60068
Cook County (847) 723-2210
AHMAD MASALHA MD
Surgery
1775 DEMPSTER ST # 48
PARK RIDGE, IL 60068
Cook County (847) 723-2210
OMAR ALRASHID MD,MS
Surgery
1775 DEMPSTER ST # 48
PARK RIDGE, IL 60068
Cook County (847) 723-2210
ERIK KERBER
Student in an Organized Health Care Education/Training Program
1775 DEMPSTER ST # 48
PARK RIDGE, IL 60068
Cook County (847) 723-2210
DR. MARIAN CARDWELL MD
Surgery
1775 DEMPSTER ST # 48
PARK RIDGE, IL 60068
Cook County (847) 723-2210
BRET KERSTING DO
Surgery
1775 DEMPSTER ST # 48
PARK RIDGE, IL 60068
Cook County (847) 723-2210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cody Russell's NPI number?

The NPI number for Cody Russell is 1104675024. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Cody Russell located?

Cody Russell practices at 1775 Dempster St # 48, Park Ridge, IL 60068. The listed phone number is (847) 723-2210.

What is Cody Russell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Cody Russell was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.