Bardwell, Roy James
Bardwell, Roy James is an individual health care provider with primary practice located at 16650 Harlem Ave Suite 6, Tinley Park IL 60477-1847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bardwell, Roy James can be contacted via phone (708) 802-9355.Contact Information
Primary practice address
16650 Harlem Ave Suite 6
Tinley Park IL 60477-1847
Phone: (708) 802-9355
Fax: (708) 904-4504
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036124712 | Illinois |
Profile Details
NPI number | 1154562080 |
---|---|
LBN Legal business name | Bardwell, Roy James |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2009 |
Last updated | Jun 29th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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