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Organization

STEPHANIE ROYAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STEPHANIE ROYAL MS (PRESIDENT)
(917) 204-5198
Entity
Organization

Contact information

Practice address
8239 S KING DR, CHICAGO, IL 60619-4961
(917) 204-5198
Mailing address
47 W POLK ST STE 172, CHICAGO, IL 60605-2000
(917) 204-5198

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/12/2021
Last updated
02/12/2021
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Product
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  • Eligibility checks
  • EDI platform