James Gerard Roth O.D.

NPI 1013071075 - Optometrist - 152W00000X

NPI Details
NPI 1013071075
Gender Male
Enumeration Date 12/21/2006
Last Updated 10/09/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
6857 S PULASKI RD
CHICAGO IL, 60629-4151, US
Phone (773) 767-5000
Fax (773) 767-5176
Business Location
6857 S PULASKI RD
CHICAGO IL, 60629-4151, US
Phone (773) 767-5000
Fax (773) 767-5176
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046008029
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According to our database, Dr. James Gerard Roth O.D. NPI is 1013071075, taxonomy code is 152W00000X and license number is 046008029, license state is located at Illinois. James Gerard Roth O.D. physically located at 6857 S Pulaski Rd, Chicago IL, 60629-4151. NPI Number James Gerard Roth O.D. has the Individual type.

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1013071075 NPI number is provided on an as is basis without warranty of any kind. 1013071075 is maintained by the National Plan & Provider Enumeration System. The contents of James Gerard Roth O.D. are for informational purposes only.