Individual
TULSI PRAVIN ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2040 OGDEN AVE STE 115, AURORA, IL 60504-7205
(630) 922-8825
Mailing address
5841 S MARYLAND AVE # MC6035, SUITE J-641, CHICAGO, IL 60637-1447
(773) 702-6302
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
036161868
IL
208200000X
Plastic Surgery Physician
125066965
IL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
036161868
IL
Other
Enumeration date
06/02/2015
Last updated
08/09/2022
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