Shirley A Roy, Mdsc

LBN: Shirley A Roy, Mdsc
Shirley A Roy, Mdsc is an health care organization with primary practice located at 5419 N Sheridan Rd 106, Chicago IL 60640-1964. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Shirley A Roy, Mdsc can be contacted via phone (773) 878-5151, or through Roy, Shirley A via phone (773) 878-5151.

Contact Information

Primary practice address
5419 N Sheridan Rd 106 Chicago IL 60640-1964
Phone: (773) 878-5151
Fax: (773) 878-1134
Website:
Map and Directions
Authorized official contact:
Name: Roy, Shirley A Doctor of Medicine (MD)
Phone: (773) 878-5151

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3645111 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 3645111 Illinois

Profile Details

NPI number 1083710263
LBN Legal business name Shirley A Roy, Mdsc
DBA Doing business as
Authorized official Roy, Shirley A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Oct 3rd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083710263 NPPES
Illinois MEDICAID 36045111

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