Roy Lacey, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036055042 Issued in IL

Practice address

8058 S Western Ave
Chicago, IL 60620-5936

Phone

(773) 778-1950

Fax

(773) 778-1866

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1487638847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20657 PROMETHIAN WAY",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611517",
            "telephone_number": "708-748-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8058 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606205936",
            "telephone_number": "773-778-1950",
            "fax_number": "773-778-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036055042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055042",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margeaux Lacavera, DO
• Christina Lacci, DPT
• John Vincent Lacci Jr., MD
• Aneta M Lacek, D.D.S.
• Bonnie Lacey
• Kristen Lach, MS, RD, LDN, CNSC
• Thomas Lach, OD
• Brandy Nicole Lachapelle
• Karen Finke Lachcik, OTR/L,CHT
• Alessa Salem Lachica

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.