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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT C RUSSELL, M.D.

Active Sole Proprietor

ROBERT C RUSSELL, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in SPRINGFIELD, Illinois. NPI 1700823879 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · SPRINGFIELD, IL

Registration Details

NPI Number
1700823879
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2006 (20.061559554938 yrs)
Last Updated
Mar 21, 2013
Licenses
036061657 (IL)
036061657 (IL)
036061657 (IL)
Sole Proprietor
Yes

Practice Information

Address
320 E CARPENTER ST
SPRINGFIELD, IL, 627025185
Browse IL providers · Browse ZIP 62702
Phone
2175230808
Fax
2177535324
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X
Additional Specialty
General Surgery

Other Plastic and Reconstructive Surgery Providers in SPRINGFIELD, IL

Name Credential NPI
NICOLE Z SOMMER M.D. 1629064746
JOEL WIETFELDT MD 1497977888
ERIKA HENKELMAN MD 1689896144
DR. BRIAN A MAILEY M.D. 1376717603
DR. ABIGAIL MACIOLEK COCHRAN M.D. 1265743140
JAMES WINTERS M.D. 1730561796
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.