Doctor Name: | ROBERT LEO BLACK |
NPI Number: | 1528084472 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | J6877 |
Business Practice Address: | 1400 W Park St Urbana, IL - 618012334 |
Business Phone Number: | 2173372000 |
Business Fax Number: | |
Mailing Address: | 75 Remitt Drive, Lockbox 6053 CHICAGO |
State: | IL |
Postal Code: | 606756053 |
Phone Number: | 8669165259 |
Fax Number: | 2319224030 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 12/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207P00000X |
License Number: | J6877 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: | An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |