Marshall D. Roth, L.AC.

NPI #1154620383 in Oak Lawn, Illinois

Provider Information

NPI Number: 1154620383
Entity Type: Individual
Name: Marshall D. Roth, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Mar 28, 2011
Last Updated: Mar 28, 2011

Practice Location

Address: 4700 W 95TH ST
Address 2: SUITE LL6
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2533
Phone: (708) 422-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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