Individual provider · Type 1 NPI

Derek Roydavis, PA-C

Physician Assistant · Park Ridge, IL

NPI number 1265102826 Active

Practice location

1700 Luther Ln Ste 1170
Park Ridge, IL 60068-1270

Call (844) 376-3876 Map

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

  • 41 Mesa Dr, Bethany, CT 06524-3093 · (203) 980-3234

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Physician Assistant Primary 363A00000X1186126

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

23 other providers at this address

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About NPI 1265102826

Derek Roydavis, PA-C's National Provider Identifier is 1265102826, issued on Sep 15, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Park Ridge, IL. The record was last updated on Mar 9, 2022.