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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. MICHAEL J RUSSELL II
NPI 1952094880
Counselor - Professional in Park Ridge, IL

Active since May 26, 2023PECOS Enrolled
250 S NW HIGHWAY, SUITE 110, PARK RIDGE, IL 60068(888) 428-7890 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 2, 2026, Jun 22, 2023, May 26, 2023 (3 updates tracked since 2023).

About Mr. Michael J Russell Ii NPPES

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

MR. MICHAEL J RUSSELL II (NPI 1952094880) is an individual professional provider in Park Ridge, Illinois, licensed in Illinois (180018722) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952094880
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MICHAEL J RUSSELL II
Location Address250 S NW HIGHWAY, SUITE 110Park Ridge, IL 60068
Mailing Address6470 N Olympia AveChicago, IL 60631-1519 · (773) 682-9633
Phone(888) 428-7890
Sole ProprietorNo
Enumeration DateMay 26, 2023
Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1952094880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180018722✔ Licensed in IL · 178019110
250 S NW HIGHWAY, Park Ridge, IL 60068
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael J Russell Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Michael Russell's NPI number?

The NPI number for Michael Russell is 1952094880. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Where is Michael Russell located?

Michael Russell practices at 250 S NW Highway Suite 110, Park Ridge, IL 60068. The listed phone number is (888) 428-7890.

What is Michael Russell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Michael Russell enrolled in Medicare?

Yes. Michael Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Russell was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.