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Contact Information

ROBERT C RUSSELL, MD
320 E CARPENTER ST
SPRINGFIELD, IL62702-5185
 Phone: 217-523-0808
 Fax: 217-753-5324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT C RUSSELL · (Male)

NPI # 1700823879
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2006
Last updated 03/21/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036061657
  • IL Medicaid 036061657
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
  • ST JOHNS HOSPITAL - (Acute Care)
    800 E CARPENTER ST
    SPRINGFIELD, IL 62769
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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