| Doctor Name: | ELLEN ROY |
| NPI Number: | 1023289410 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 880 W Central Rd Suite 5000 Arlington Heights, IL - 600052355 |
| Business Phone Number: | 8476183800 |
| Business Fax Number: | 8476183809 |
| Mailing Address: | 3060 W Salt Creek Ln, ARLINGTON HEIGHTS |
| State: | IL |
| Postal Code: | 600051069 |
| Phone Number: | 8476183487 |
| Fax Number: | 8476183489 |
| NPI Enumeration Date: | 03/13/2008 |
| NPI Last Update Date: | 12/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |