# ROY J. BETTI, M.D.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861650889
- **Authorized official:** DR. ROY JOSEPH BETTI M.D. (PRESIDENT)
- **Authorized official phone:** (630) 653-5115

## Contact information

- **Practice address:** 381 S SCHMALE RD, SUITE B, CAROL STREAM, IL 60188-2782
- **Practice address phone:** (630) 653-5115
- **Practice address fax:** (630) 653-4493
- **Mailing address:** 381 S SCHMALE RD, SUITE B, CAROL STREAM, IL 60188-2782
- **Mailing address phone:** (630) 653-5115
- **Mailing address fax:** (630) 653-4493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 05/15/2012

## 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 |