Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN B. ROTH JR., M.D.
Active Sole ProprietorJOHN B. ROTH JR., M.D. is a Gynecology healthcare provider located in MORRIS, Illinois. NPI 1447396361 is currently active in the NPPES registry. Verify at CMS.
Gynecology · MORRIS, IL
Registration Details
- NPI Number
- 1447396361
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2007 (19.353514240727 yrs)
- Last Updated
- Sep 21, 2011
- License
-
036044899 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
107 W JEFFERSON STMORRIS, IL, 604502128Browse IL providers · Browse ZIP 60450
- Phone
- 8159420683
- Primary Specialty
-
Gynecology
207VG0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.