CODY N. RUSSELL MD – NPI #1104675024
Surgery

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.

CODY RUSSELL is a surgeon located in PARK RIDGE, IL. NPPES has assigned the NPI number 1104675024 to CODY RUSSELL on May 14, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was last updated on Jul 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CODY RUSSELL below.

NPI Profile for
CODY N. RUSSELL

NPI Number
1104675024
Enumeration Date

(more than 2 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CODY N. RUSSELL
Credentials
MD
Primary location
1775 DEMPSTER ST # 48
PARK RIDGE, IL 60068-1143
Phone: (847) 723-2210 Fax: (847) 723-6987
1 Other location(s):
1650 Grand Concourse
Bronx, NY 10457-7679
Phone: (718) 960-1216
Mailing address
1775 DEMPER STREET #48
PARK RIDGE, IL 60068
Phone: (847) 723-2210 Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)
IL 125086836

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.