Organization
ROYALTY INTERVENTION GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA J RATCLIFFE (CHIEF EXECUTIVE OFFICER)
(773) 779-8260
Entity
Organization
Contact information
Practice address
2215 W 95TH ST, 1 EAST, CHICAGO, IL 60643-1001
(773) 779-8260
(773) 779-8261
Mailing address
2215 W 95TH ST, 1 EAST, CHICAGO, IL 60643-1001
(773) 239-9600
(773) 239-9601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609316389
—
IL
Enumeration date
03/01/2017
Last updated
02/17/2018
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