DR. Jason Roth, MD

NPI #1104199868 in Chicago, Illinois

Provider Information

NPI Number: 1104199868
Entity Type: Individual
Name: DR. Jason Roth, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: Feb 10, 2012
Last Updated: Feb 10, 2012

Practice Location

Address: 1725 W HARRISON ST STE 340
City: Chicago
State: Illinois
ZIP Code: 60612-3852
Phone: (312) 664-6715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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