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1487638847
ROY LACEY
CHICAGO, IL
NPI
1487638847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036055042)
Enumeration Date
2005-11-30
Last Update Date
2010-02-12
Business Address
Dr. ROY LACEY d.o.
8058 S WESTERN AVE
CHICAGO, IL 60620-5936
Phone number: 773-778-1950
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Mailing Address
Dr. ROY LACEY d.o.
20657 PROMETHIAN WAY
OLYMPIA FIELDS, IL 60461-1517
Phone number: 708-748-8111
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