Individual
ROBY ADHINAYAK LAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0002
(309) 672-5702
(309) 671-2774
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0002
(309) 672-5702
(309) 671-2774
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036-116007
IL
2085R0001X
Radiation Oncology Physician
Primary
E-0295
AR
2085R0001X
Radiation Oncology Physician
OS007227L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001522959
—
PA
01
—
014885
HEALTH ALLIANCE INS.
IL
05
—
0361160072
—
IL
01
—
CM5868
RAILROAD MEDICARE
IL
01
—
P00334468
RAILROAD MEDICARE PIN
—
01
—
P00609726
RAILROAD MEDICARE PART B PTAN
—
Enumeration date
09/20/2005
Last updated
02/19/2026
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