Bliley, Roy C

Bliley, Roy C is an individual health care provider with primary practice located at 13011 S 104Th Ave Ste 100 , Palos Park IL 60464-1508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bliley, Roy C can be contacted via phone (708) 274-3278.

Contact Information

Primary practice address
13011 S 104Th Ave Ste 100 Palos Park IL 60464-1508
Phone: (708) 274-3278
Fax: (708) 274-3299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036068954 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036068954 Illinois

Profile Details

NPI number 1225092992
LBN Legal business name Bliley, Roy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Sep 11th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225092992 NPPES
Illinois Other 060043541 RAILROAD MEDICARE WILL
Illinois Other 060042338 RAILROAD MEDICARE WILL
Illinois Other 01621208 RAILROAD MEDICARE WILL
Illinois Other 236550 RAILROAD MEDICARE WILL
Illinois Other 236551 RAILROAD MEDICARE WILL
Illinois Other CN2703 RAILROAD MEDICARE WILL
Illinois Other 1508810086 RAILROAD MEDICARE WILL
Illinois Other CD8033 RAILROAD MEDICARE WILL
Illinois MEDICAID 036068954 RAILROAD MEDICARE WILL

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