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

Robert T Russell, MD

Individual provider Otolaryngology Physician · NPI 1992813174

Robert T Russell, MD is an Otolaryngology Physician in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
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

1404 Eastland Dr Ste 209
Bloomington, IL 61701-7904
Phone: (309) 662-3277
Fax: (309) 663-0845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 036082417 (IL)

Record details

NPI number1992813174
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 28, 2006
Last updated in NPPESOctober 20, 2015
Mailing address1404 Eastland Dr Ste 209, Bloomington, IL 61701-7904

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