Roy Lacey
DR ROY LACEY LTD


Address: 8058 S Western Ave, Chicago, IL 60620-5936
Phone: 7737781950

Roy Lacey (NPI# 1487638847, PAC ID# 4284786542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1487638847
PAC ID by PECOS 4284786542
Professional Enrollment ID I20090716000598
Full Name Roy Lacey
Organization Legal Name DR ROY LACEY LTD
Address 8058 S Western Ave
Chicago
IL 60620-5936
Phone Number 7737781950
Gender M
Medical School CHICAGO COLLEGE OF OSTEOPATHY
Graduation Year 1976
Primary Specialty GENERAL PRACTICE
Group Practice PAC ID 9739231093
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140179 LITTLE COMPANY OF MARY HOSPITAL
140118 METROSOUTH MEDICAL CENTER

Other Locations

Address Phone Organization
8058 S Western Ave, Chicago, IL 60620-5936 7737781950 DR ROY LACEY LTD

Organization Information

Organization Legal Name DR ROY LACEY LTD
Physicians 1

Office Location

Street Address 8058 S WESTERN AVE
City CHICAGO
State IL
Zip 60620-5936

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Name Specialty Organization Address
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Mohammad Rasmi Mataria Nephrology Kidney and Hypertension Associates Ltd 8058 S Western Ave, Chicago, IL 60620-5936

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Competitor

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City CHICAGO
Zip Code 60620
Specialty GENERAL PRACTICE
City + Specialty CHICAGO + GENERAL PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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