Individual
ASHISH KUMAR ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 N.E. GLEN OAK AVE, PEORIA, IL 61637
(309) 655-6384
(309) 655-7732
Mailing address
828 NE GLEN OAK AVE, APT # 111, PEORIA, IL 61603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-142270
IL
207R00000X
Internal Medicine Physician
125064732
IL
Other
Enumeration date
07/25/2014
Last updated
05/09/2017
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