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Organization
SHIRLEY A ROY, MDSC
Active
Organization
SHIRLEY A ROY, MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRLEY A ROY MD (PRESIDENT)
(773) 878-5151
Entity
Organization
Contact information
Practice address
5419 N SHERIDAN RD, 106, CHICAGO, IL 60640-1964
(773) 878-5151
(773) 878-1134
Mailing address
5419 N SHERIDAN RD, 106, CHICAGO, IL 60640-1964
(773) 878-5151
(773) 878-1134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3645111
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
3645111
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36045111
—
IL
Enumeration date
09/15/2006
Last updated
10/03/2007
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