Provider Demographics
NPI:1538298328
Name:ROY S SCHECK M.D. , S.C.
Entity Type:Organization
Organization Name:ROY S SCHECK M.D. , S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHECK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-773-0333
Mailing Address - Street 1:115 W ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:ITASCA
Mailing Address - State:IL
Mailing Address - Zip Code:60143-1700
Mailing Address - Country:US
Mailing Address - Phone:630-773-0333
Mailing Address - Fax:630-773-4452
Practice Address - Street 1:115 W ORCHARD ST
Practice Address - Street 2:
Practice Address - City:ITASCA
Practice Address - State:IL
Practice Address - Zip Code:60143-1700
Practice Address - Country:US
Practice Address - Phone:630-773-0333
Practice Address - Fax:630-773-4452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0002201486OtherBCBS OF IL
ILD15306Medicare UPIN
IL971280Medicare ID - Type Unspecified