Individual
DR. ROY EAPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2003 W FULTON ST STE 303, CHICAGO, IL 60612-2345
(312) 243-2223
Mailing address
2003 W FULTON ST STE 303, CHICAGO, IL 60612-2345
(312) 243-2223
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
COVID-IMG-1875
IL
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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