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Contact Information

ROBERT P CUSICK, MD
3101 FIELDS SOUTH DR
CHAMPAIGN, IL61822-3743
 Phone: 217-366-1237
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT P CUSICK · (Male)

NPI # 1184606790
Status Active
Credentials MD
Entity Individual
Enumeration date 11/18/2005
Last updated 01/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036149260
Hospital affiliation(s)
  • CARLE FOUNDATION HOSPITAL - (Acute Care)
    611 WEST PARK STREET
    URBANA, IL 61801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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