Individual
DR. SOUMYAJIT ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
500 S PAULINA ST, CHICAGO, IL 60612-3804
(312) 942-0712
Mailing address
500 S PAULINA ST, CHICAGO, IL 60612-3804
(312) 942-0712
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
125.077321
IL
Other
Enumeration date
04/01/2019
Last updated
06/14/2021
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