Robert Russell, M.D

NPI 1992813174 · on the registry since 2006 · sole proprietor

Practice

Address: 1404 Eastland Dr Ste 209
Bloomington, IL 61701
Phone: (309) 662-3277
Fax: (309) 663-0845
Organisation at this address: Mycare Express Care Inc
My Care Urgent Care Inc
Eastland Dental Center, Ltd.
Associates In Dermatology Sc
Bloomington Normal Audiology
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 207Y00000X
207Y00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois