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Individual

ROY SUCHOLEIKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25 N WINFIELD ROAD, SUITE 500, WINFIELD, IL 60190-1295
(630) 933-4056
(630) 933-4057
Mailing address
25 N WINFIELD ROAD, SUITE 500, WINFIELD, IL 60190-1295
(630) 933-4056
(630) 933-4057

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036097841
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036097841
IL
01
K22089
MEDICARE PTAN (INDIVIDUAL)
IL
01
P00289934
RR MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
07/20/2006
Last updated
05/18/2012
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