Robert T Russell in Bloomington - Otolaryngology
Robert T Russell - NPI 1992813174
Robert T Russell is a Otolaryngology in Bloomington, Illinois. Robert T Russell practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Robert T Russell is 1992813174. The last update date is 2015-10-20.
Robert T Russell's current location address is 1404 Eastland Dr Ste 209, Bloomington, Illinois. You can contact this provider via phone number 3096623277 and fax number 3096630845. The mailing address for Robert T Russell is 1404 Eastland Dr Ste 209, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert T Russell |
|---|---|
| Address | 1404 Eastland Dr Ste 209, Bloomington, Illinois |
| Phone Number | 3096623277 |
| Fax Number | 3096630845 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1992813174 |
|---|---|
| Provider Enumeration Date | 2006-08-28 |
| Last Updated Date | 2015-10-20 |
Provider Mailing Address Detail
| Address | 1404 Eastland Dr Ste 209 |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617017904 |
| Phone Number | 3096623277 |
| Fax Number | 3096630845 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 36082417 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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What is the unique identification code assigned to Robert T Russell by the Centers for Medicare & Medicaid Services?
The Robert T Russell has been issued the NPI (National Provider Identifier) 1992813174. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Robert T Russell is physically located?
The Robert T Russell is situated at the following address: 1404 Eastland Dr Ste 209, Bloomington, IL 617017904.
What is Robert T Russell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert T Russell is Otolaryngology, and the taxonomy code that categorizes this field of expertise is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992813174 to Robert T Russell?
The Centers for Medicare & Medicaid Services originally issued the 1992813174 to Robert T Russell on 2006-08-28.
When was the Robert T Russell's information last updated?
The Robert T Russell's information was last updated on 2015-10-20.