Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert Leo Black Jr., MD

Individual provider Emergency Medicine Physician · NPI 1528084472

Robert Leo Black Jr., MD is an Emergency Medicine Physician in Urbana, Illinois. Licensed in Illinois, Texas and Wisconsin. Registered with an NPI since 2006.

Licensed in
IL, TX, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 W Park St
Urbana, IL 61801-2334
Phone: (217) 337-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036-085333 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence J6877 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 34824-020 (WI)

Record details

NPI number1528084472
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESDecember 10, 2015
Mailing address75 Remitt Drive, Lockbox 6053, Chicago, IL 60675-6053

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