Russell, Robert C

Russell, Robert C is an sole proprietor health care provider with primary practice located at 320 E Carpenter St , Springfield IL 62702-5185. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Russell, Robert C can be contacted via phone (217) 523-0808.

Contact Information

Primary practice address
320 E Carpenter St Springfield IL 62702-5185
Phone: (217) 523-0808
Fax: (217) 753-5324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 036061657 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036061657 Illinois
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 036061657 Illinois

Profile Details

NPI number 1700823879
LBN Legal business name Russell, Robert C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Mar 21st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700823879 NPPES
Illinois MEDICAID 036061657

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