Individual
ANSAF ALAMIN ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
106 LAUREL LN, EULESS, TX 76039-8005
(469) 254-1098
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
085.011995
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
50.010009RX
OH
363A00000X
Physician Assistant
Primary
085011995
IL
363A00000X
Physician Assistant
Primary
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Other
Enumeration date
01/09/2026
Last updated
02/12/2026
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