Individual
ROBROY HENRY MACIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 N CHILDRENS PLZ, CHICAGO, IL 60614-3363
(773) 755-4000
Mailing address
2944 N BROADWAY ST, CHICAGO, IL 60657-5300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
336-074859
IL
Other
Enumeration date
03/01/2007
Last updated
01/07/2020
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