Individual
CASSANDRA ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5145 N CALIFORNIA AVE STE 331, CHICAGO, IL 60625-3661
(773) 878-8200
(773) 293-4171
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 982-6715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209025207
IL
363L00000X
Nurse Practitioner
Primary
95029510
CA
363LF0000X
Family Nurse Practitioner
026359
OH
Other
Enumeration date
02/20/2020
Last updated
12/14/2024
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