DR. James Gerard Roth, O.D.

NPI #1013071075 in Chicago, Illinois

Provider Information

NPI Number: 1013071075
Entity Type: Individual
Name: DR. James Gerard Roth, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 21, 2006
Last Updated: Oct 9, 2008

Practice Location

Address: 6857 S PULASKI RD
City: Chicago
State: Illinois
ZIP Code: 60629-4151
Phone: (773) 767-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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