Healthcare Provider Details

I. General information

NPI: 1952366528
Provider Name (Legal Business Name): MICHELE MARIA ROIG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. MICHELE MARIA STRIKE

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 11/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27790 W HIGHWAY 22 STE 22
BARRINGTON IL
60010
US

IV. Provider business mailing address

27790 W HIGHWAY 22 STE 22
BARRINGTON IL
60010
US

V. Phone/Fax

Practice location:
  • Phone: 847-381-6700
  • Fax: 847-381-6828
Mailing address:
  • Phone: 847-381-6700
  • Fax: 847-381-6828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036098839
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: