Provider Demographics
NPI:1952366528
Name:ROIG, MICHELE MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:MARIA
Last Name:ROIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:MICHELE
Other - Middle Name:MARIA
Other - Last Name:STRIKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:27790 W HIGHWAY 22
Mailing Address - Street 2:STE 22
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010
Mailing Address - Country:US
Mailing Address - Phone:847-381-6700
Mailing Address - Fax:847-381-6828
Practice Address - Street 1:27790 W HIGHWAY 22
Practice Address - Street 2:STE 22
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010
Practice Address - Country:US
Practice Address - Phone:847-381-6700
Practice Address - Fax:847-381-6828
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036098839208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics