MEDICARE: DR. SOUMYAJIT ROY MBBS

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
1	2085R0001X	Radiation Oncology Physician	125.077321	IL

General Provider Information

NPI Number	:	1174085096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOUMYAJIT ROY MBBS

Provider Business Mailing Address
First Line	:	500 S PAULINA ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3804
Country	:	US
Telephone Number	:	312-942-0712
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 S PAULINA ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3804
Country	:	US
Telephone Number	:	312-942-0712
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2019
Last Update Date	:	06/14/2021

Similar Medicare Providers

1356317564 — ROSS ABRAMS M.D.
Practice Location Address:

520 S PAULINA ST
CHICAGO, IL
60612-3804

Practice Phone: 312-942-0712
Practice Fax:

1992771117 — RUSH UNIVERSITY MEDICAL CENTER
Practice Location Address:

520 S PAULINA ST
CHICAGO, IL
60612-3804

Practice Phone: 312-942-5751
Practice Fax:

1841246030 — DR. DIAN WANG MD
Practice Location Address:

500 S PAULINA ST
CHICAGO, IL
60612-3804

Practice Phone: 312-942-5751
Practice Fax: 312-942-2339

1669798062 — DR. GAURAV MARWAHA M.D.
Practice Location Address:

500 S PAULINA ST
CHICAGO, IL
60612-3804

Practice Phone: 312-942-5751
Practice Fax: 312-563-2857

1942620745 — DR. KEN TATEBE MD
Practice Location Address:

500 S PAULINA ST
CHICAGO, IL
60612-3804

Practice Phone: 312-942-5751
Practice Fax: 312-942-2339

1982254090 — SARAH ANDERSON APN
Practice Location Address:

500 S PAULINA ST
CHICAGO, IL
60612-3804

Practice Phone: 312-942-5751
Practice Fax:

Directions to “ DR. SOUMYAJIT ROY MBBS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.