Individual
DR. ROY K WERNER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
13448 S. CICERO AVENUE, CRESTWOOD, IL 60445
(708) 682-3384
(708) 682-3385
Mailing address
10782 GREYWALL LN, HUNTLEY, IL 60142-4070
(847) 669-5653
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036115221
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439125
—
IA
05
—
34711600
—
WI
01
—
36372
WELLMARK BCBS
IA
Enumeration date
09/13/2005
Last updated
01/31/2022
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