Susan Amy Roth is a Pediatrics in Evanston, Illinois. Susan Amy Roth practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Amy Roth is 1063587624. The last update date is 2020-10-06.
Susan Amy Roth's current location address is 1000 Central St, Evanston, Illinois. You can contact this provider via phone number 8475701507 and fax number 8475701577. The mailing address for Susan Amy Roth is 1000 Central St, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Amy Roth |
|---|---|
| Address | 1000 Central St, Evanston, Illinois |
| Phone Number | 8475701507 |
| Fax Number | 8475701577 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063587624 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2020-10-06 |
Provider Mailing Address Detail
| Address | 1000 Central St |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602011777 |
| Phone Number | 8475701507 |
| Fax Number | 8475701577 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 36073846 |
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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 |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan Amy Roth by the Centers for Medicare & Medicaid Services?
The Susan Amy Roth has been issued the NPI (National Provider Identifier) 1063587624, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Susan Amy Roth?
The Susan Amy Roth is situated at 1000 Central St, in the city of Evanston, state of IL, with the zip code 602011777.
What is Susan Amy Roth's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan Amy Roth is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did the Susan Amy Roth receive the assignment of its 1063587624 from the Centers for Medicare & Medicaid Services?
The Susan Amy Roth was issued its 1063587624 by the Centers for Medicare & Medicaid Services on 2006-11-21.
When was the Susan Amy Roth's information last updated?
The Susan Amy Roth's information was last updated on 2020-10-06.