| Roy J. Betti, M.d.s.c. | |
|
381 S Schmale Rd Suite B Carol Stream IL 60188-2782 | |
| (630) 653-5115 | |
| (630) 653-4493 |
| Full Name | Roy J. Betti, M.d.s.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 381 S Schmale Rd, Carol Stream, Illinois |
| Authorized Official Name and Position | Roy Joseph Betti (PRESIDENT) |
| Authorized Official Contact | 6306535115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roy J. Betti, M.d.s.c. 381 S Schmale Rd Suite B Carol Stream IL 60188-2782 Ph: (630) 653-5115 | Roy J. Betti, M.d.s.c. 381 S Schmale Rd Suite B Carol Stream IL 60188-2782 Ph: (630) 653-5115 |
| NPI Number | 1861650889 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861650889 | NPI | - | NPPES |
| 036043734 | Medicaid | IL | |
| 3631498336019001 | Other | IL | CDPG HFS PAYEE ID |
| 02200852 | Other | IL | BLUE CROSS AND BLUE SHIELD |
| 03000104 | Other | IL | ILLINOIS HEALTH CONNECT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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