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Contact Information

CRYSTAL L ROY, PA
611 W. PARK ST
URBANA, IL61801
 Phone: 309-530-5101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CRYSTAL L ROY · (Female)

NPI Number 1275965220
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/01/2013
Last updated 02/08/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085.004731
Hospital affiliation(s)
  • DECATUR MEMORIAL HOSPITAL - (Acute Care)
    2300 NORTH EDWARD STREET
    DECATUR, IL 62526
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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