Timothy Morgan Russo, CPO
NPI 1992206577ActiveIndividual· Prosthetist· Oak Park, IL
Prosthetist (CPO) in Oak Park, Illinois, licensed in IL, with an NPI issued in February 2018.
Overview
| NPI | 1992206577 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CPO |
| Sole proprietor | No |
| NPI issued | Feb 28, 2018 |
| Last updated in NPPES | Feb 28, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prosthetist Primary | 224P00000X | 211.000298 | IL |
| Orthotist | 222Z00000X | 213.000337 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Prosthetist providers in Oak Park
- 1912408881
- 1124529847
- 1134621725