ROBERT T RUSSELL

BLOOMINGTON, IL
NPI1992813174
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Y00000X Otolaryngology
(Licence: IL  036082417)
Enumeration Date2006-08-28
Last Update Date2015-10-20
Business Address
-- ROBERT T RUSSELL M.D.
1404 EASTLAND DR STE 209
BLOOMINGTON, IL 61701-7904
Phone number: 309-662-3277
Mailing Address
-- ROBERT T RUSSELL M.D.
1404 EASTLAND DR STE 209
BLOOMINGTON, IL 61701-7904
Phone number: 309-662-3277
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