Roy, Mitali
Roy, Mitali is an individual health care provider with primary practice located at 4440 W 95Th Street Dept Of Im, Oak Lawn IL 60453. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Roy, Mitali can be contacted via phone (708) 398-0287.Contact Information
Primary practice address
4440 W 95Th Street Dept Of Im
Oak Lawn IL 60453
Phone: (708) 398-0287
Fax: (708) 684-2032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036098392 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036.098392 | Illinois |
Profile Details
| NPI number | 1336213297 |
|---|---|
| LBN Legal business name | Roy, Mitali |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Nov 18th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336213297 | NPPES |
| Illinois | MEDICAID | 036098392 |
Popular Providers
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Yasmeen, Tahira
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Arvan, Michael E
4542 W 95Th St , Oak Lawn IL 60453-2627