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NPI Code Detail

MEDICARE: DR. MICHEL Y. ROY DC, DO,ND,HM

MEDICARE:  DR. MICHEL Y. ROY  DC, DO,ND,HM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor038011609IL

General Provider Information

NPI Number : 1093070922
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHEL Y. ROY DC, DO,ND,HM
Provider Business Mailing Address
First Line : 16 N PEORIA ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2609
Country : US
Telephone Number : 312-346-9355
Fax Number :
Provider Business Practice Location Address
First Line : 16 N PEORIA ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2609
Country : US
Telephone Number : 312-346-9355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2012
Last Update Date : 07/06/2012

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