Stephen Roth, M.D.

Pediatrics Physician · Downers Grove, IL

Individual Active NPI

NPI number 1629161401

Practice location

412 63rd St
Suite 105
Downers Grove, IL 60516-2000
Phone
(630) 915-5437

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NPI record

NPI
1629161401
Entity type
Individual (Type 1)
Enumeration date
October 2, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X — IL

Mailing address

100 W Monroe St
Chicago, IL 60603-1967
Phone
(630) 915-5437

About Dr. Roth

Stephen Roth, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 412 63rd St, Suite 105, Downers Grove, IL 60516-2000. The NPI number 1629161401 was assigned on October 2, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Stephen Roth, M.D.?

The NPI number is 1629161401.

What is the phone number of Dr. Roth?

The phone number listed for the practice location is (630) 915-5437.

Where is Dr. Roth located?

412 63rd St, Suite 105, Downers Grove, IL 60516-2000.

What is the taxonomy code for Dr. Roth?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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