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Organization
ROY J. BETTI, M.D.S.C.
Active
Organization
ROY J. BETTI, M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY JOSEPH BETTI M.D. (PRESIDENT)
(630) 653-5115
Entity
Organization
Contact information
Practice address
381 S SCHMALE RD, SUITE B, CAROL STREAM, IL 60188-2782
(630) 653-5115
(630) 653-4493
Mailing address
381 S SCHMALE RD, SUITE B, CAROL STREAM, IL 60188-2782
(630) 653-5115
(630) 653-4493
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02200852
BLUE CROSS AND BLUE SHIELD
IL
01
—
03000104
ILLINOIS HEALTH CONNECT
IL
05
—
036043734
—
IL
01
—
3631498336019001
CDPG HFS PAYEE ID
IL
Enumeration date
05/27/2008
Last updated
05/15/2012
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