Stephen Roth in Chicago - Pediatrics

Stephen Roth - NPI 1629161401

Stephen Roth is a Pediatrics in Chicago, Illinois. Stephen Roth practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stephen Roth is 1629161401. The last update date is 2007-07-08.

Stephen Roth's current location address is 100 W Monroe St, Chicago, Illinois. You can contact this provider via phone number 6309155437. The mailing address for Stephen Roth is 100 W Monroe St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Roth
Address 100 W Monroe St, Chicago, Illinois
Phone Number 6309155437
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1629161401
Provider Enumeration Date 2006-10-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 100 W Monroe St
City Chicago
State Illinois (IL)
Post Code 606031967
Phone Number 6309155437
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
21627803 IL BLUE CROSS ID

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FAQs about Stephen Roth

What is the unique identifier code issued to Stephen Roth by the Centers for Medicare & Medicaid Services?

The Stephen Roth has been assigned the NPI (National Provider Identifier) 1629161401. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Stephen Roth's facilities are situated?

The facilities of Stephen Roth are physically located at the following address: 100 W Monroe St, Chicago, IL, 606031967.

What is the area of specialization for Stephen Roth, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Stephen Roth is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date did Stephen Roth receive its 1629161401 assignment from the Centers for Medicare & Medicaid Services?

The Stephen Roth was assigned its 1629161401 on 2006-10-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Stephen Roth most recently updated or revised?

The information pertaining to Stephen Roth, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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