| Roya Family Medical Center Ltd | |
|
714 N Broadway Ave. Melrose Park IL 60160 | |
| (708) 865-0663 | |
| (708) 681-1812 |
| Full Name | Roya Family Medical Center Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 714 N Broadway Ave., Melrose Park, Illinois |
| Authorized Official Name and Position | Michelle Alexandre (PRESIDENT) |
| Authorized Official Contact | 7088650663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roya Family Medical Center Ltd Po Box 5140 River Forest IL 60305-5140 Ph: (708) 865-0663 | Roya Family Medical Center Ltd 714 N Broadway Ave. Melrose Park IL 60160 Ph: (708) 865-0663 |
| NPI Number | 1043355670 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 05/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043355670 | NPI | - | NPPES |
| 036100953 | Medicaid | IL | |
| 1626842 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036100953 (Illinois) | Primary |
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