Individual
ROY CLIFTON CROMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4920 N CENTRAL AVE, CHICAGO, IL 60630-2338
(773) 777-6615
(773) 777-0177
Mailing address
4920 N CENTRAL AVE, CHICAGO, IL 60630-2338
(773) 777-6615
(773) 777-0177
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-006657
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363063745T
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
08/16/2006
Last updated
09/20/2023
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