Susan Amy Roth, MD

NPI #1063587624 in Evanston, Illinois

Provider Information

NPI Number: 1063587624
Entity Type: Individual
Name: Susan Amy Roth, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Nov 21, 2006
Last Updated: Oct 6, 2020

Practice Location

Address: 1000 CENTRAL ST
Address 2: SUITE 765
City: Evanston
State: Illinois
ZIP Code: 60201-1777
Phone: (847) 570-1507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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